Emphysema mimicking interstitial lung disease: Two case reports

被引:1
作者
Juhl, Kasper S. [1 ]
Bendstrup, Elisabeth [1 ]
Rasmussen, Finn [2 ]
Hilberg, Ole [1 ]
机构
[1] Aarhus Univ Hosp, Dpt Resp Med & Allergol, Aarhus, Denmark
[2] Aarhus Univ Hosp, Dept Radiol, Aarhus, Denmark
关键词
Emphysema; HRCT; Interstitial; Mimicking; Pulmonary embolism; Honeycombing;
D O I
10.1016/j.rmcr.2014.12.004
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Honeycombing in general is a sign of severe end-stage fibrosis. Here we present two cases, where the combination of emphysema, acute inflammation and pulmonary embolism gave an appearance of honeycombing seen in pulmonary fibrosis. HRCT interpretation in the evaluation of acutely ill patients with pulmonary infection is a challenge. Our case reports emphasize the importance of a multidisciplinary approach, when it comes to patients with suspected complicated pulmonary diseases. At the same time they give very realistic examples of the challenges found in diagnosing patients with simultaneous acute and chronic pulmonary diseases. (C) 2015 The Authors. Published by Elsevier Ltd.
引用
收藏
页码:24 / 26
页数:3
相关论文
共 12 条
[1]   Usual Interstitial Pneumonia and Nonspecific Interstitial Pneumonia with and without Concurrent Emphysema: Thin-Section CT Findings [J].
Akira, Masanori ;
Inoue, Yoshikazu ;
Kitaichi, Masanori ;
Yamamoto, Satoru ;
Arai, Toru ;
Toyokawa, Kazushige .
RADIOLOGY, 2009, 251 (01) :271-279
[2]  
American Thoracic Society/European Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias, 2002, AM J RESP CRIT CARE, V165, P277, DOI [DOI 10.1164/AJRCCM.165.2.ATS01, 10.1164/ajrccm.165.2.ats01]
[3]  
Elicker Brett, 2008, J. bras. pneumol., V34, P715
[4]   Radiological versus histological diagnosis in UIP and NSIP: survival implications [J].
Flaherty, KR ;
Thwaite, EL ;
Kazerooni, EA ;
Gross, BH ;
Toews, GB ;
Colby, TV ;
Travis, WD ;
Mumford, JA ;
Murray, S ;
Flint, A ;
Lynch, JP ;
Martinez, FJ .
THORAX, 2003, 58 (02) :143-148
[5]   Fleischner Society:: Glossary of terms tor thoracic imaging [J].
Hansell, David M. ;
Bankier, Alexander A. ;
MacMahon, Heber ;
McLoud, Theresa C. ;
Mueller, Nestor L. ;
Remy, Jacques .
RADIOLOGY, 2008, 246 (03) :697-722
[6]   Nonspecific interstitial pneumonia:: Variable appearance at high-resolution chest CT [J].
Hartman, TE ;
Swensen, SJ ;
Hansell, DM ;
Colby, TV ;
Myers, JL ;
Tazelaar, HD ;
Nicholson, AG ;
Wells, AU ;
Rau, JH ;
Mu'adhdhin, DE ;
du Bois, RM ;
Müller, NL .
RADIOLOGY, 2000, 217 (03) :701-705
[7]   Radiologic findings are strongly associated with a pathologic diagnosis of usual interstitial pneumonia [J].
Hunninghake, GW ;
Lynch, DA ;
Galvin, JR ;
Gross, BH ;
Müller, N ;
Schwartz, DA ;
King, TE ;
Lynch, JP ;
Hegele, R ;
Waldron, J ;
Colby, TV ;
Hogg, JC .
CHEST, 2003, 124 (04) :1215-1223
[8]   Utility of a lung biopsy for the diagnosis of idiopathic pulmonary fibrosis [J].
Hunninghake, GW ;
Zimmerman, MB ;
Schwartz, DA ;
King, TE ;
Lynch, J ;
Hegele, R ;
Waldron, J ;
Colby, T ;
Müller, N ;
Lynch, D ;
Galvin, J ;
Gross, B ;
Hogg, J ;
Toews, G ;
Helmers, R ;
Cooper, JAD ;
Baughman, R ;
Strange, C ;
Millard, M .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 164 (02) :193-196
[9]   Eosinophilic lung diseases:: Diagnostic accuracy of thin-section CT in 111 patients [J].
Johkoh, T ;
Müller, NL ;
Akira, M ;
Ichikado, K ;
Suga, M ;
Ando, M ;
Yoshinaga, T ;
Kiyama, T ;
Mihara, N ;
Honda, O ;
Tomiyama, N ;
Nakamura, H .
RADIOLOGY, 2000, 216 (03) :773-780
[10]   Nonspecific interstitial pneumonia and usual interstitial pneumonia: Comparative appearances at and diagnostic accuracy of thin-section CT [J].
MacDonald, SLS ;
Rubens, MB ;
Hansell, DM ;
Copley, SJ ;
Desai, SR ;
du Bois, RM ;
Nicholson, AG ;
Colby, TV ;
Wells, AU .
RADIOLOGY, 2001, 221 (03) :600-605