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Ground-glass opacity is in contrast to consolidation, in which the pulmonary vascular markings are obscured. [3] [5] GGO can be used to describe both focal and diffuse areas of increased density. [5] Subtypes of GGOs include diffuse, nodular, centrilobular, mosaic, crazy paving, halo sign, and reversed halo sign. [6]
Clinical tests include chest radiography or (HRCT) which may show centrilobular nodular and ground-glass opacities with air-trapping in the middle and upper lobes of the lungs. Fibrosis may also be evident. Bronchoalveolar Lavage (BAL) findings coinciding with pneumonitis typically include a lymphocytosis with a low CD4:CD8 ratio. [7] [13]
The non-fibrotic form is typically characterized by ground glass opacities, mosaic attenuation, ill-defined centrilobular nodules (<5 mm), and air trapping. [12] The fibrotic form is typically characterized by irregular linear opacities/coarse reticulations, traction bronchiectasis , and honeycombing , patchy ground-glass attenuation ...
There may be superimposed CT features such as mild ground-glass opacity, reticular pattern and pulmonary ossification. Probable UIP pattern: [4] Predominantly subpleural and basal; Often heterogenous distribution; Reticular pattern with peripheral traction bronchiectasis or bronchiolectasis; There may be mild ground-glass opacity; Indeterminate ...
In radiology, the tree-in-bud sign is a finding on a CT scan that indicates some degree of airway obstruction. [1] The tree-in-bud sign is a nonspecific imaging finding that implies impaction within bronchioles, the smallest airway passages in the lung.
Ground-glass opacities are common but less extensive than the reticulation; Distribution characteristically basal and peripheral though often patchy. High-resolution computed tomography scans of the chest of a patient with IPF. The main features are of a peripheral, predominantly basal pattern of coarse reticulation with honeycombing
CT scans may show characteristic findings such as ground-glass opacities in centrilobular distribution, and mediastinal lymphadenopathy, but these findings are non-specific and may be seen in other conditions.
ground glass; consolidation (diffuse opacity with air bronchograms) location (where is the lesion worst?) upper (e.g., sarcoid, tuberculosis, silicosis/pneumoconiosis, ankylosing spondylitis, Langerhans cell histiocytosis) lower (e.g., cryptogenic fibrosing alveolitis, connective tissue disease, asbestosis, drug reactions)