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대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 110 Date 1999-12-04

  • Courtesy of Kun-Il Kim, MD, Koun-Sik Song, MD / Pusan National University Hospital, Ulsan University Asan Medical Center
  • Age/Sex 39 / F
  • Chief ComplaintGeneral weakness, mild dyspnea
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Diagnosis
BOOP (bronchiolitis obliterans organizing pneumonia)
Radiologic Findings
CT scans show multifocal areas of consolidation and small nodules in both lungs with a striking peribronchovascular distribution.
Brief Review
BOOP is a clinicopathologic entity characterized clinically by a disorder with
systemic symptoms such as cough, sputum and
pathologically by the presence of granulation tissue within the respiratory bronchioles and alveolar ducts
with patchy areas of interstitial inlammatory cell infiltration largely of mononuclear cells and foamy macrophages.
Typical high-resolution CT findings of the disease are
bilateral areas of air-space consolidation (seen in 80% of cases) and
ground-glass opacity (in 60% of cases),
small, ill-defined nodules (30% to 50% of cases) at the subpleural and/or peribronchial regions.
Honeycombing is usually absent.
References
1. Webb WR, Muller NL, Naidich DP. High-resolution CT of the lung, second edition. Philadelphia: Lippincott Raven Publisher 1996:206-210
2. Lee KS, Kullnig P, Hartman TE, Muller NL. Cryptogenic organizing pneumonia: CT findings in 43 patients. AJR 1994; 162:543-546
Keywords
Lung, Idiopathic interstitial pneumonia, COP, IIP, BOOP (bronchiolitis obliterans organizing pneumonia)

No. of Applicants : 35

▶ Correct Answer : 22/35,  62.9%
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  • - 寃쎈
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  • - 源€
  • - 源€吏€
  • - Seoul National University Hospital Whal Lee
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  • - 源€
  • - 怨
  • - 源€
  • - 怨듬낫 沅Œ
  • - 源€
  • - 怨
  • - Samsung Medical Center Kyung Soo Lee
  • - Seoul National University Hospital Jung-Gi Im
  • - Pol. S.Orsola-Malpighi, University of Bologna. Italy Maurizio Zompatori
  • - Univ. of Colorado Health Sciences Center Jin Seong Lee
  • - Stedelijk OLV Ziekenhuis Mechelen, Belgium Pilate Ivan
  • - Az Vesalius, Tongeren, Belgium Rudi Stokmans
▶ Semi-Correct Answer : 3/35,  8.6%
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  • - 怨
  • - 遺€ 源€
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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