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Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... , cavities • HRCT ... Treatment: • Mild ... BOOP #pulmonary #ILD ... #diagnosis #management
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... there is an ill-defined ... In the proper clinical ... weight loss or long ... #Clinical #Radiology
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... cryptogenic organizing pneumonia ... #Clinical #Radiology ... #CTChest #COP # ... #ILD #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... hypersensitivity pneumonits ... #Clinical #Radiology ... #CTChest #RBILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... HR-pattern: reticular nodular ... bronchiectasis) #Diagnosis #Radiology ... #CTChest #Interpretation ... #Algorithm #ILD
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
the consolidated lung ... be seen on the chest ... are usually very ill ... #Clinical #Radiology ... #CXR #CTChest #
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial pneumonia ... rare idiopathic lung ... #Clinical #Radiology ... #CTChest #AIP # ... AcuteInterstitialPneumonia #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... show very similar HRCT ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest