Monday, June 30, 2014

Hypersensitivity pneumonitis



  CXR-
1) Ground glass opacification
2) Fine nodular or reticulonodular pattern (more prominent in sub acute phase)
   [ Lower lung predominance ]
3) Chronic cases - fibrosis with upper lobe retraction, reticular opacity, volume loss and honeycombing may be seen

HRCT-
1) Poorly defined centrilobular nodules - < 5 mm in diameter , profuse throughout the lung ,but a mid to lower lung zone predominance noted (*ground glass attenuation)
   - Usually regress with removal of exposure
2) Ground glass attenuation - most common in AHP
    - may be patchy or diffuse
    - middle lung zone predominance
    - may resolve with removal of exposure

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