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CT Findings of Granulomatous Pneumonitis Secondary to Mycobacterium avium-intracellulare Inhalation: "Hot Tub Lung"

Thomas E. Hartman1, Eric Jensen2, Henry D. Tazelaar3, Viktor Hanak4 and Jay H. Ryu4

1 Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905.
2 Department of Radiology, Mayo Clinic, Scottsdale, AZ.
3 Department of Laboratory Medicine, Pathology, Mayo Clinic, Scottsdale, AZ.
4 Department of Pulmonary & Critical Care Medicine, Mayo Clinic, Rochester, MN


Figure 1
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  		Fig. 1 —High-resolution CT image through lungs at level of bronchus intermedius in 54-year-old woman shows nodular areas of ground-glass attenuation with centrilobular distribution bilaterally.

 

Figure 2
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  		Fig. 2 —High-resolution CT image of lower lungs in 52-year-old man shows patchy bilateral areas of ground-glass attenuation.

 

Figure 3
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  		Fig. 3A —High-resolution CT images through upper lungs in 53-year-old woman. Inspiratory image shows patchy areas of ground-glass attenuation bilaterally with few areas of uninvolved lung.

 

Figure 4
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  		Fig. 3B —High-resolution CT images through upper lungs in 53-year-old woman. Expiratory image shows air trapping in uninvolved areas of upper lungs that is more prominent on right.

 

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