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Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Clinical manifestations ... - Imaging: • CXR ... Rare: pleural effusions ... - Diagnosis: ... #ILD #diagnosis
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... called cryptogenic (COP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... with the distal radius ... repair MH/CCF ... Wrist #Carpal #Radiology ... #XRay #Diagnosis
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP # ... #ILD #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the differential diagnosis ... (OP) also known ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... (OP) or chronic ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... (OP) - multiple ... #Clinical #Diagnosis ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... (COP). ... look like this #Clinical ... #Radiology #CTChest ... OrganizingPneumonia #RadiologyAssistant