Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Bronchiolitis Obliterans Organizing Pneumonia
- Radiologic Findings
- PA chest radiograph shows bilateral areas of consolidation, predominantly in lower lung zones. Thin-section CT scans show patchy areas of consolidation and ground-glass opacity in both lungs.Predominant lower lung zone, subpleural, peribronchial distribution of the lesions is noted.
Open lung biopsy revealed multipel granulation polyps filling respiratiory bronchioles and alveolar ducts and bronchial wall thickening, consistent with broncholitis obliterans organizing pneumonia.
- Brief Review
- Histology
Granulation tissue polyps within respiratory bronchioles and alveolar ducts (Masson bodies) associated with patchy orgainzing pneumonia
Symptom
nonproductive cough, low-grade fever, shortness of breath
CT findings
Major
Pathcy bilateral airspace consolidation (80%)
Ground-glass opacity (60%)
Subpleural and/or peribronchovascular distribution
Minor
Bronchial wall thickening, dilatation
Small nodular opacities
Large nodules
Pleural effusion
Honeycombing (uncommon)
- References
- Keywords