Weekly Chest CasesImaging Conference Cases

Case No : 3

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  • Age/Sex 57 / M
  • Case Title Desquamative interstitial pneumonia
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Chief Complaint
Abnormal chest X-ray
Definitive Diagnosis
Desquamative interstitial pneumonia
Past History
Smoker (40 pack-years)
Reviewy
Rare
Extensive, diffuse and uniform airspace filling by pigmented macrophages
Association with smoking (-90%)
; drug reaction, leukemia, asbestosis, pneumoconiosis, connective tissue (RA, lupus, and scleroderma)
Imaging finding
Diffuse ground-glass opacities
Subpleural and lower zone distribution
Cystic spaces in area of ground-glass opacities
Irregular linear opacities, traction bronchiectasis, and emphysema
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