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Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... - Diagnosis: ... 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 ... idiopathic or cryptogenic ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
of organizing pneumonia ... #Clinical #Radiology ... #CTChest #COP # ... Cryptogenic #Organizing ... #ILD #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
also organizing pneumonia ... #Clinical #Radiology ... #CTChest #COP # ... Cryptogenic #Organizing ... #Pneumonia #ILD
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
carcinoma, the diagnosis ... of cryptogenic ... #Clinical #Radiology ... #CTChest #COP # ... #Pneumonia #ILD
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... in the proper clinical ... densities iin the left lung ... #Clinical #Radiology ... #CXR #CTChest #
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... the differential diagnosis ... Biopsy revealed the diagnosis ... of organizing pneumonia ... #Clinical #Radiology
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... was cryptogenic ... organizing pneumonia ... look like this #Clinical ... #Radiology #CTChest
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... Differential Diagnosis ... rarely typical pneumonia ... #diagnosis #pulmonary ... #CXR #clinical