File:Alveolar hemorrhage and possible lymphocytic interstitial pneumonitis in systemic lupus erythematosus (Radiopaedia 28582-28839 Coronal C+ CTPA 9).jpg

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Alveolar_hemorrhage_and_possible_lymphocytic_interstitial_pneumonitis_in_systemic_lupus_erythematosus_(Radiopaedia_28582-28839_Coronal_C+_CTPA_9).jpg ‎(621 × 512 pixels, file size: 21 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 28582
  • Image ID: 6528901
  • Image stack position: 9/88
  • Plane projection: Coronal
  • Aux modality: C+ CTPA
  • Study description: CT pulmonary angiography
  • Study findings: Numerous intrapulmonary cysts, the largest measuring 3 cm in the left lower lobe. Left upper lobe ground glass opacity occupies most of the apical segment. Regional cysts demonstrate air-fluid levels. Several pulmonary nodules: 17 x 14mm right lower lobe anterior segment (image 23 se 6); this nodule is of fluid attenuation 7 x 7mm right upper lobe (image 14 se 6) 6 x 6mm right apex (image 9 se 6) 7 x 6mm right lower lobe anterior basal segment (image 25 se 6) No thoracic lymphadenopathy. Moderately severe cardiomegaly. Dense pleural calcification, right medial basal region. Mild central pulmonary arterial dilation. 2 low attenuation hepatic lesions: 14mm segment 2 anterior subcapsular, 8mm segment 7 posterior subcapsular CONCLUSION: Appearances suggest lymphoid interstitial pneumonia. The left upper lobe GGO has a relatively wide DDx including hemorrhage and less likely aspiration or infection. Malignancy is considered unlikely. Pulmonary hypertension.
  • Modality: CT
  • System: Chest
  • Findings: There is a patchy airspace infiltrate in the left upper zone.
Date Published: 16th Apr 2014
Source https://radiopaedia.org/cases/alveolar-haemorrhage-and-possible-lymphocytic-interstitial-pneumonitis-in-systemic-lupus-erythematosus
Author Jan Frank Gerstenmaier
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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