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Ground-Glass Opacities on Thin-Section Helical CT: Differentiation Between Bronchioloalveolar Carcinoma and Atypical Adenomatous Hyperplasia

Seitaro Oda1, Kazuo Awai1, Duo Liu1, Takeshi Nakaura1, Yumi Yanaga1, Hiroaki Nomori2 and Yasuyuki Yamashita1

1 Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjyo, Kumamoto 860-8556, Japan.
2 Department of Thoracic Surgery, Graduate School of Medical Sciences, Kumamoto University, Kumamoto 860-8556, Japan.


Figure 1
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Fig. 1A 47-year-old man with histologic diagnosis of atypical adenomatous hyperplasia. Axial (A), coronal (B), and sagittal (C) sections of high-resolution CT scan of three contiguous sections (section thickness and interval, 1.25 mm) show 11.5-mm maximum diameter nodule with focal ground-glass opacity. Mean attenuation of nodule is –380.5 H. Nodule is almost spherical on axial, coronal, and sagittal sections.

 

Figure 2
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Fig. 1B 47-year-old man with histologic diagnosis of atypical adenomatous hyperplasia. Axial (A), coronal (B), and sagittal (C) sections of high-resolution CT scan of three contiguous sections (section thickness and interval, 1.25 mm) show 11.5-mm maximum diameter nodule with focal ground-glass opacity. Mean attenuation of nodule is –380.5 H. Nodule is almost spherical on axial, coronal, and sagittal sections.

 

Figure 3
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Fig. 1C 47-year-old man with histologic diagnosis of atypical adenomatous hyperplasia. Axial (A), coronal (B), and sagittal (C) sections of high-resolution CT scan of three contiguous sections (section thickness and interval, 1.25 mm) show 11.5-mm maximum diameter nodule with focal ground-glass opacity. Mean attenuation of nodule is –380.5 H. Nodule is almost spherical on axial, coronal, and sagittal sections.

 

Figure 4
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Fig. 2A 74-year-old woman with histologic diagnosis of bronchioloalveolar carcinoma. Axial (A) and sagittal (B) sections of high-resolution CT scan (section thickness, 1.25 mm; section interval, 1.25 mm) show 18.0-mm maximum diameter nodule with focal ground-glass opacity. Mean attenuation of nodule is –399.1 H. Internal air bronchogram (arrows) is seen in nodule.

 

Figure 5
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Fig. 2B 74-year-old woman with histologic diagnosis of bronchioloalveolar carcinoma. Axial (A) and sagittal (B) sections of high-resolution CT scan (section thickness, 1.25 mm; section interval, 1.25 mm) show 18.0-mm maximum diameter nodule with focal ground-glass opacity. Mean attenuation of nodule is –399.1 H. Internal air bronchogram (arrows) is seen in nodule.

 

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