Pediatric Diffuse Lung Disease



Fig. 15.1
Surfactant protein B mutation in a full-term newborn boy. (a) Frontal chest radiograph shows diffuse hazy granular opacity resembling respiratory distress syndrome of prematurity. (b)Axial lung window CT image demonstrates diffuse ground-glass pulmonary opacification



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Fig. 15.2
ABCA3 mutation in a 5-year-old boy. (a) Frontal chest radiograph shows increased coarse interstitial opacities in both lungs. (b) Lateral chest radiograph demonstrates a pectus excavatum




15.5.2 Neuroendocrine Cell Hyperplasia




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Fig. 15.3
Neuroendocrine cell hyperplasia of infancy in a 5-month-old boy who presented with persistent tachypnea, retractions, hypoxemia and crackles. (a) Frontal chest radiograph shows pulmonary hyperinflation with opacities in the perihilar and paramediastinal regions. (b) Axial lung window CT image demonstrates geographic ground-glass opacities in the right middle lobe and lingula


15.5.3 Pulmonary Alveolar Proteinosis




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Fig. 15.4
Pulmonary alveolar proteinosis in an 8-year-old girl. Axial lung window CT image shows bilateral ground-glass opacities with smooth intra- and interlobular septal thickening in polygonal shapes, an appearance known as crazy paving


15.5.4 Pulmonary Lymphangiomatosis




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Fig. 15.5
Pulmonary lymphangiomatosis in a 5-year-old boy. (a) Axial lung window CT image shows interlobular septal thickening in both lungs. (b) Axial soft tissue window CT image demonstrates mediastinal edema and bilateral pleural effusions


15.5.5 Bronchiolitis Obliterans (Swyer–James–Macleod Syndrome)




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Fig. 15.6
Bronchiolitis obliterans (Swyer–James–Macleod syndrome) in a 6-year-old girl with multiple vial pneumonias. (a) Frontal chest radiograph shows hyperlucent left lung with decreased lung volume and underlying pulmonary vessels in comparison to the right lung. (b) Axial lung window CT image demonstrates accentuated hyperlucent oligemic segments of lung, worse on the left side than the right side


15.5.6 Hypersensitivity Pneumonitis




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Fig. 15.7
Hypersensitivity pneumonitis in an 8-year-old boy who presented with worsening cough, fatigue, and repetitive bird exposure in his parents’ farm. Axial lung window CT image shows scattered lobular areas of ground-glass attenuation in both lungs


15.5.7 Nonspecific Interstitial Pneumonia




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Fig. 15.8
Nonspecific interstitial pneumonia in an 11-year-old boy who presented with dry cough, shortness of breath, and fatigue. Axial lung window CT image shows a combination of ground-glass opacification and traction bronchiectasis


15.5.8 Systemic Sclerosis




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Fig. 15.9
Systemic sclerosis in a 13-year-old girl. (a) Frontal fluoroscopic spot image obtained during barium swallow study shows a dilated esophagus. (b) Axial lung window CT image demonstrates clusters of small cysts at the lung periphery, resembling honeycombing, ground-glass opacification, and bronchiectasis

Aug 20, 2016 | Posted by in PEDIATRIC IMAGING | Comments Off on Pediatric Diffuse Lung Disease

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