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Radiologic Evaluation

  • David A. Lynch
Chapter

Abstract

High resolution CT is useful for early detection and characterization of diffuse lung diseases. Optimal CT evaluation requires careful attention to technique. Radiologic diagnosis is based on the use of standard descriptive terms and the distribution of abnormality in the craniocaudal and axial planes. Confident CT diagnoses of several diffuse diseases, including usual interstitial pneumonia, sarcoidosis, hypersensitivity pneumonitis, smoking-related lung injury, Langerhans histiocytosis, lymphangioleiomyomatosis, based on typical CT findings and made in the appropriate clinical context, are usually correct. However, certain other radiologic findings, particularly ground-glass abnormality, consolidation and reticular abnormality, are relatively nonspecific and will usually require further diagnostic evaluation.

Keywords

High resolution CT Diagnosis Usual interstitial pneumonia Sarcoidosis Hypersensitivity pneumonitis 

References

  1. 1.
    Mayo JR. CT evaluation of diffuse infiltrative lung disease: dose considerations and optimal technique. J Thorac Imaging. 2009;24(4):252–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Hansell DM, Bankier AA, Macmahon H, McLoud TC, Müller NL, Remy J. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246(3):697–722.PubMedCrossRefGoogle Scholar
  3. 3.
    Leung A, Miller R, Müller N. Parenchymal opacification in chronic infiltrative lung disease: CT-pathologic correlation. Radiology. 1993;188:209–14.PubMedGoogle Scholar
  4. 4.
    Austin J, Müller N, Friedman P, Hansell D, Naidich D, Remy-Jardin M, et al. Glossary of terms for CT of the lungs: recommendations of the nomenclature committee of the Fleischner Society. Radiology. 1996;200:327–31.PubMedGoogle Scholar
  5. 5.
    Remy-Jardin M, Beuscart R, Sault MC, Marquette CH, Remy J. Subpleural micronodules in diffuse infiltrative lung diseases: evaluation with thin-section CT scans. Radiology. 1990;177(1):133–9.PubMedGoogle Scholar
  6. 6.
    Gruden JF, Webb WR, Naidich DP, McGuinness G. Multinodular disease: anatomic localization at thin-section CT – multireader evaluation of a simple algorithm. Radiology. 1999;210(3):711–20.PubMedGoogle Scholar
  7. 7.
    Aberle DR, Gamsu G, Ray CS, Feuerstein IM. Asbestos-related pleural and parenchymal fibrosis: detection with high-resolution CT. Radiology. 1988;166:729–34.PubMedGoogle Scholar
  8. 8.
    Stein M, Mayo J, Müller N, Aberle D, Webb W, Gamsu G. Pulmonary lymphangitic spread of carcinoma: appearance on CT scans. Radiology. 1987;162:371–5.PubMedGoogle Scholar
  9. 9.
    Müller NL, Miller RR, Webb WR, Evans KG, Ostrow DN. Fibrosing alveolitis: CT-pathologic correlation. Radiology. 1986;160(3):585–8.PubMedGoogle Scholar
  10. 10.
    Westcott JL, Cole SR. Traction bronchiectasis in end-stage pulmonary fibrosis. Radiology. 1986;161:665–9.PubMedGoogle Scholar
  11. 11.
    Remy-Jardin M, Giraud F, Remy J, Copin MC, Gosselin B, Duhamel A. Importance of ground-glass attenuation in chronic diffuse infiltrative lung disease: pathologic-CT correlation. Radiology. 1993;189(3):693–8.PubMedGoogle Scholar
  12. 12.
    Meziane MA, Hruban RH, Zerhouni EA, Wheeler PS, Khouri NF, Fishman EK, et al. High resolution CT of the lung parenchyma with pathologic correlation. Radiographics. 1988;8(1):27–54.PubMedGoogle Scholar
  13. 13.
    Godwin J, Müller N, Takasugi J. Pulmonary alveolar proteinosis: CT findings. Radiology. 1988;169:609–13.PubMedGoogle Scholar
  14. 14.
    Tan RT, Kuzo RS. High-resolution CT findings of mucinous bronchioloalveolar carcinoma: a case of pseudopulmonary alveolar proteinosis. AJR Am J Roentgenol. 1997;168(1):99–100.PubMedGoogle Scholar
  15. 15.
    Laurent F, Philippe JC, Vergier B, Granger-Veron B, Darpeix B, Vergeret J, et al. Exogenous lipoid pneumonia: HRCT, MR, and pathologic findings. Eur Radiol. 1999;9(6):1190–6.PubMedCrossRefGoogle Scholar
  16. 16.
    Murayama S, Murakami J, Yabuuchi H, Soeda H, Masuda K. “Crazy paving appearance” on high resolution CT in various diseases. J Comput Assist Tomogr. 1999;23(5):749–52.PubMedCrossRefGoogle Scholar
  17. 17.
    Stern E, Swensen S, Hartman T, Frank M. CT mosaic pattern of lung attenuation: distinguishing different causes. AJR Am J Roentgenol. 1995;165:813–6.PubMedGoogle Scholar
  18. 18.
    Arakawa H, Webb WR, McCowin M, Katsou G, Lee KN, Seitz RF. Inhomogeneous lung attenuation at thin-section CT: diagnostic value of expiratory scans. Radiology. 1998;206(1):89–94.PubMedGoogle Scholar
  19. 19.
    Murata K, Khan A, Herman PG. Pulmonary parenchymal disease: evaluation with high-resolution CT. Radiology. 1989;170:629–35.PubMedGoogle Scholar
  20. 20.
    Noma S, Khan A, Herman PG, Rojas KA. High-resolution computed tomography of the pulmonary parenchyma. Semin Ultrasound CT MR. 1990;11:365–79.PubMedGoogle Scholar
  21. 21.
    Webb W, Stein M, Finkbeiner W, Im J-G, Lynch D, Gamsu G. Normal and diseased isolated lungs: high resolution CT. Radiology. 1988;166:81–7.PubMedGoogle Scholar
  22. 22.
    Murata K, Itoh H, Todo G, Kanaoka M, Noma S, Itoh T, et al. Centrilobular lesions of the lungs: demonstration by high-resolution CT and pathologic correlation. Radiology. 1986;161:641–5.PubMedGoogle Scholar
  23. 23.
    Staples CA, Gamsu G, Ray CS, Webb WR. High resolution computed tomography and lung function in asbestos-exposed workers with normal chest radiographs. Am Rev Respir Dis. 1989;139:1502–8.PubMedGoogle Scholar
  24. 24.
    Begin R, Ostiguy G, Fillion R, Colman N. Computed tomography in the early detection of silicosis. Am Rev Respir Dis. 1991;144:697–705.CrossRefGoogle Scholar
  25. 25.
    Bergin C, Bell D, Coblentz C, et al. Sarcoidosis: correlation of pulmonary parenchymal pattern at CT with results of pulmonary function tests. Radiology. 1989;171:619–24.PubMedGoogle Scholar
  26. 26.
    Harrison NK, Glanville AR, Strickland B, Haslam PL, Corrin B, Addis BJ, et al. Pulmonary involvement in systemic sclerosis: the detection of early changes by thin section CT scan, bronchoalveolar lavage and 99mTc- DTPA clearance. Respir Med. 1989;83(5):403–14.PubMedCrossRefGoogle Scholar
  27. 27.
    Schurawitzki H, Stiglbauer R, Graninger W, Herold C, Polzleitner D, Burghuber OC, et al. Interstitial lung disease in progressive systemic sclerosis: high-resolution CT versus radiography. Radiology. 1990;176(3):755–9.PubMedGoogle Scholar
  28. 28.
    Hansell D, Moskovic E. High-resolution computed tomography in extrinsic allergic alveolitis. Clin Radiol. 1991;43:8–12.PubMedCrossRefGoogle Scholar
  29. 29.
    Silver S, Müller N, Miller R, Lefcoe M. Hypersensitivity pneumonitis: evaluation with CT. Radiology. 1989;173:441–5.PubMedGoogle Scholar
  30. 30.
    Aberle DR, Gamsu G, Ray CS. High-resolution CT of benign asbestos-related diseases: clinical and radiographic correlation. AJR Am J Roentgenol. 1988;151(5):883–91.PubMedGoogle Scholar
  31. 31.
    Lynch DA, Rose CS, Way D, King TJ. Hypersensitivity pneumonitis: sensitivity of high-resolution CT in a population-based study. Am J Roentgenol. 1992;159:469–72.Google Scholar
  32. 32.
    Mathieson JR, Mayo JR, Staples CA, Müller NL. Chronic diffuse infiltrative lung disease: comparison of diagnostic accuracy of CT and chest radiography. Radiology. 1989;171(1):111–6.PubMedGoogle Scholar
  33. 33.
    Swensen S, Aughenbaugh G, Myers J. Diffuse lung disease: diagnostic accuracy of CT in patients undergoing surgical biopsy of the lung. Radiology. 1997;205:229–34.PubMedGoogle Scholar
  34. 34.
    Hunninghake GW, Zimmerman MB, Schwartz DA, King TE, Lynch J, Hegele R, et al. Utility of a lung biopsy for the diagnosis of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2001;164(2):193–6.PubMedGoogle Scholar
  35. 35.
    Tung KT, Wells AU, Rubens MB, Kirk JM, du Bois RM, Hansell DM. Accuracy of the typical computed tomographic appearances of fibrosing alveolitis. Thorax. 1993;48(4):334–8.PubMedCrossRefGoogle Scholar
  36. 36.
    Lynch D, Newell J, Logan P, King T, Müller N. Can CT distinguish idiopathic pulmonary fibrosis from hypersensitivity pneumonitis? AJR Am J Roentgenol. 1995;165:807–11.PubMedGoogle Scholar
  37. 37.
    Hunninghake GW, Lynch DA, Galvin JR, Gross BH, Müller N, Schwartz DA, et al. Radiologic findings are strongly associated with a pathologic diagnosis of usual interstitial pneumonia. Chest. 2003;124(4):1215–23.PubMedCrossRefGoogle Scholar
  38. 38.
    Raghu G, Mageto YN, Lockhart D, Schmidt RA, Wood DE, Godwin JD. The accuracy of the clinical diagnosis of new-onset idiopathic pulmonary fibrosis and other interstitial lung disease: a prospective study. Chest. 1999;116(5):1168–74.PubMedCrossRefGoogle Scholar
  39. 39.
    Bonelli FS, Hartman TE, Swensen SJ, Sherrick A. Accuracy of high-resolution CT in diagnosing lung diseases. AJR Am J Roentgenol. 1998;170(6):1507–12.PubMedGoogle Scholar
  40. 40.
    Nishimura K, Izumi T, Kitaichi M, Nagai S, Itoh H. The diagnostic accuracy of high-resolution computed tomography in diffuse infiltrative lung diseases. Chest. 1993;104(4):1149–55.PubMedCrossRefGoogle Scholar
  41. 41.
    Sumikawa H, Johkoh T, Ichikado K, Taniguchi H, Kondoh Y, Fujimoto K, et al. Usual interstitial pneumonia and chronic idiopathic interstitial pneumonia: analysis of CT appearance in 92 patients. Radiology. 2006;241(1):258–66.PubMedCrossRefGoogle Scholar
  42. 42.
    Johkoh T, Müller NL, Cartier Y, Kavanagh PV, Hartman TE, Akira M, et al. Idiopathic interstitial pneumonias: diagnostic accuracy of thin-section CT in 129 patients. Radiology. 1999;211(2):555–60.PubMedGoogle Scholar
  43. 43.
    Sumikawa H, Johkoh T, Colby TV, Ichikado K, Suga M, Taniguchi H, et al. Computed tomography findings in pathological usual interstitial pneumonia: relationship to survival. Am J Respir Crit Care Med. 2008;177(4):433–9.PubMedCrossRefGoogle Scholar
  44. 44.
    Flaherty KR, Toews GB, Travis WD, Colby TV, Kazerooni EA, Gross BH, et al. Clinical significance of histological classification of idiopathic interstitial pneumonia. Eur Respir J. 2002;19(2):275–83.PubMedCrossRefGoogle Scholar
  45. 45.
    Kim EY, Lee KS, Chung MP, Kwon OJ, Kim TS, Hwang JH. Nonspecific interstitial pneumonia with fibrosis: serial high-resolution CT findings with functional correlation. AJR Am J Roentgenol. 1999;173(4):949–53.PubMedGoogle Scholar
  46. 46.
    Hartman TE, Primack SL, Swensen SJ, Hansell D, McGuinness G, Müller NL. Desquamative interstitial pneumonia: thin-section CT findings in 22 patients. Radiology. 1993;187(3):787–90.PubMedGoogle Scholar
  47. 47.
    Park JS, Lee KS, Kim JS, Park CS, Suh YL, Choi DL, et al. Nonspecific interstitial pneumonia with fibrosis: radiographic and CT findings in seven patients. Radiology. 1995;195(3):645–8.PubMedGoogle Scholar
  48. 48.
    Cottin V, Donsbeck A, Revel D, Loire R, Cordier J. Nonspecific interstitial pneumonia: individualization of a clinicopathologic entity in a series of 12 patients. Am J Respir Crit Care Med. 1998;158:1286–93.PubMedGoogle Scholar
  49. 49.
    Nagai S, Kitaichi M, Itoh H, Nishimura K, Izumi T, Colby TV. Idiopathic nonspecific interstitial pneumonia/fibrosis: comparison with idiopathic pulmonary fibrosis and BOOP. Eur Respir J. 1998;12(5):1010–9.PubMedCrossRefGoogle Scholar
  50. 50.
    Johkoh T, Müller NL, Colby TV, Ichikado K, Taniguchi H, Kondoh Y, et al. Nonspecific interstitial pneumonia: correlation between thin-section CT findings and pathologic subgroups in 55 patients. Radiology. 2002;225(1):199–204.PubMedCrossRefGoogle Scholar
  51. 51.
    Nishiyama O, Kondoh Y, Taniguchi H, Yamaki K, Suzuki R, Yokoi T, et al. Serial high resolution CT findings in nonspecific interstitial pneumonia/fibrosis. J Comput Assist Tomogr. 2000;24(1):41–6.PubMedCrossRefGoogle Scholar
  52. 52.
    MacDonald S, Rubens M, Hansell D, Copley S, Desai S, du Bois R, et al. Nonspecific interstitial pneumonia and usual interstitial pneumonia: comparative appearances and diagnostic accuracy of high-resolution computed tomography. Radiology. 2001;221:600–5.PubMedCrossRefGoogle Scholar
  53. 53.
    Travis WD, Hunninghake G, King Jr TE, Lynch DA, Colby TV, Galvin JR, et al. Idiopathic nonspecific interstitial pneumonia: report of an American Thoracic Society project. Am J Respir Crit Care Med. 2008;177(12):1338–47.PubMedCrossRefGoogle Scholar
  54. 54.
    Epler GR, Colby TV, McLoud TC, Gaensler EA, Carrington CB. Bronchiolitis obliterans organizing pneumonia. N Engl J Med. 1985;312(3):152–8.PubMedCrossRefGoogle Scholar
  55. 55.
    Costabel U, Teschler H, Schoenfeld B, Hartung W, Nusch A, Guzman J, et al. BOOP in Europe. Chest. 1992;102(1 Suppl):14S–20S.PubMedCrossRefGoogle Scholar
  56. 56.
    Izumi T, Kitaichi M, Nishimura K, Nagai S. Bronchiolitis obliterans organizing pneumonia. Clinical features and differential diagnosis. Chest. 1992;102(3):715–9.PubMedCrossRefGoogle Scholar
  57. 57.
    Müller NL, Colby TV. Idiopathic interstitial pneumonias: high-resolution CT and histologic findings. Radiographics. 1997;17(4):1016–22.PubMedGoogle Scholar
  58. 58.
    Alasaly K, Müller N, Ostrow DN, Champion P, FitzGerald JM. Cryptogenic organizing pneumonia. A report of 25 cases and a review of the literature. Medicine. 1995;74(4):201–11.PubMedCrossRefGoogle Scholar
  59. 59.
    Haddock JA, Hansell DM. The radiology and terminology of cryptogenic organizing pneumonia. Br J Radiol. 1992;65(776):674–80.PubMedCrossRefGoogle Scholar
  60. 60.
    Bartter T, Irwin RS, Nash G, Balikian JP, Hollings-worth HH. Idiopathic bronchiolitis obliterans organizing pneumonia with peripheral infiltrates on chest roentgenogram. Arch Intern Med. 1989;149(2):273–9.PubMedCrossRefGoogle Scholar
  61. 61.
    Müller NL, Staples CA, Miller RR. Bronchiolitis obliterans organizing pneumonia: CT features in 14 patients. AJR Am J Roentgenol. 1990;154:983–7.PubMedGoogle Scholar
  62. 62.
    Kim SJ, Lee KS, Ryu YH, Yoon YC, Choe KO, Kim TS, et al. Reversed halo sign on high-resolution CT of cryptogenic organizing pneumonia: diagnostic implications. AJR Am J Roentgenol. 2003;180(5):1251–4.PubMedGoogle Scholar
  63. 63.
    Polverosi R, Maffesanti M, Dalpiaz G. Organizing pneumonia: typical and atypical HRCT patterns. Radiol Med. 2006;111(2):202–12.PubMedCrossRefGoogle Scholar
  64. 64.
    Johkoh T, Müller NL, Pickford HA, Hartman TE, Ichikado K, Akira M, et al. Lymphocytic interstitial pneumonia: thin-section CT findings in 22 patients. Radiology. 1999;212(2):567–72.PubMedGoogle Scholar
  65. 65.
    American Thoracic Society/European Respiratory Society international multidisciplinary consensus classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med. 2002;165(2):277–304.Google Scholar
  66. 66.
    Kim EA, Lee KS, Johkoh T, Kim TS, Suh GY, Kwon OJ, et al. Interstitial lung diseases associated with collagen vascular diseases: radiologic and histopathologic findings. Radiographics. 2002;22(Spec No):S151–65.PubMedGoogle Scholar
  67. 67.
    Murdoch J, Müller N. Pulmonary sarcoidosis: changes on followup examination. Am J Roentgenol. 1992;159:473–7.Google Scholar
  68. 68.
    Brauner M, Grenier P, Mompoint D, Lenoir S, deCremoux HP. Pulmonary sarcoidosis: evaluation with high resolution CT. Radiology. 1989;172:467–71.PubMedGoogle Scholar
  69. 69.
    Hennebicque AS, Nunes H, Brillet PY, Moulahi H, Valeyre D, Brauner MW. CT findings in severe thoracic sarcoidosis. Eur Radiol. 2005;15(1):23–30.PubMedCrossRefGoogle Scholar
  70. 70.
    Silva CI, Müller NL, Lynch DA, Curran-Everett D, Brown KK, Lee KS, et al. Chronic hypersensitivity pneumonitis: differentiation from idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia by using thin-section CT. Radiology. 2008;246(1):288–97.PubMedGoogle Scholar
  71. 71.
    Remy-Jardin M, Remy J, Gosselin B, Becette V, Edme JL. Lung parenchymal changes secondary to cigarette smoking: pathologic-CT correlations. Radiology. 1993;186(3):643–51.PubMedGoogle Scholar
  72. 72.
    Holt R, Schmidt R, Godwin J, Raghu G. High resolution CT in respiratory bronchiolitis-associated interstitial lung disease. J Comput Assist Tomogr. 1993;1993:46–50.CrossRefGoogle Scholar
  73. 73.
    Park JS, Brown KK, Tuder RM, Hale VA, King Jr TE, Lynch DA. Respiratory bronchiolitis-associated interstitial lung disease: radiologic features with clinical and pathologic correlation. J Comput Assist Tomogr. 2002;26(1):13–20.PubMedCrossRefGoogle Scholar
  74. 74.
    Nakanishi M, Demura Y, Mizuno S, Ameshima S, Chiba Y, Miyamori I, et al. Changes in HRCT findings in patients with respiratory bronchiolitis-associated interstitial lung disease after smoking cessation. Eur Respir J. 2007;29(3):453–61.PubMedCrossRefGoogle Scholar
  75. 75.
    Brauner MW, Grenier P, Mouelhi MM, Mompoint D, Lenoir S. Pulmonary histiocytosis X: evaluation with high-resolution CT. Radiology. 1989;172:255–8.PubMedGoogle Scholar
  76. 76.
    Moore AD, Godwin JD, Müller NL, Naidich DP, Hammar SP, Buschman DL, et al. Pulmonary histiocytosis X: comparison of radiographic and CT findings. Radiology. 1989;172(1):249–54.PubMedGoogle Scholar
  77. 77.
    Kulwiec E, Lynch D, Aguayo S, Schwarz M, King Jr TE. Imaging of pulmonary histiocytosis X. Radiographics. 1992;12:515–26.PubMedGoogle Scholar
  78. 78.
    Koyama M, Johkoh T, Honda O, Tsubamoto M, Kozuka T, Tomiyama N, et al. Chronic cystic lung disease: diagnostic accuracy of high-resolution CT in 92 patients. AJR Am J Roentgenol. 2003;180(3):827–35.PubMedGoogle Scholar
  79. 79.
    Bergin CJ, Coblentz CL, Chiles C, Bell DY, Castellino RA. Chronic lung diseases: specific diagnosis by using CT. AJR Am J Roentgenol. 1989;152(6):1183–8.PubMedGoogle Scholar
  80. 80.
    Lenoir S, Grenier P, Brauner MW, Frija J, Remy JM, Revel D, et al. Pulmonary lymphangiomyomatosis and tuberous sclerosis: comparison of radiographic and thin-section CT findings. Radiology. 1990;175(2):329–34.PubMedGoogle Scholar
  81. 81.
    Aberle DR, Hansell DM, Brown K, Tashkin DP. Lymphangiomyomatosis: CT, chest radiographic, and functional correlations. Radiology. 1990;176(2):381–7.PubMedGoogle Scholar
  82. 82.
    Müller NL, Chiles C, Kullnig P. Pulmonary lymphangiomyomatosis: correlation of CT with radiographic and functional findings. Radiology. 1990;175(2):335–9.PubMedGoogle Scholar
  83. 83.
    Rappaport D, Weisbrod G, Herman S, Chanberlain D. Pulmonary lymphangioleiomyomatosis: high-resolution CT findings in four cases. AJR Am J Roentgenol. 1989;152:961–4.PubMedGoogle Scholar
  84. 84.
    Sherrier RH, Chiles C, Roggli V. Pulmonary lymphangioleiomyomatosis: CT findings. AJR Am J Roentgenol. 1989;153(5):937–40.PubMedGoogle Scholar
  85. 85.
    Templeton PA, McLoud TC, Müller NL, Shepard JA, Moore EH. Pulmonary lymphangioleiomyomatosis: CT and pathologic findings. J Comput Assist Tomogr. 1989;13(1):54–7.PubMedCrossRefGoogle Scholar
  86. 86.
    Avila NA, Kelly JA, Chu SC, Dwyer AJ, Moss J. Lymphangioleiomyomatosis: abdominopelvic CT and US findings. Radiology. 2000;216(1):147–53.PubMedGoogle Scholar
  87. 87.
    Avila NA, Dwyer AJ, Rabel A, Moss J. Sporadic lymphangioleiomyomatosis and tuberous sclerosis complex with lymphangioleiomyomatosis: comparison of CT features. Radiology. 2007;242(1):277–85.PubMedCrossRefGoogle Scholar
  88. 88.
    Chang AB, Masel JP, Masters B. Post-infectious bronchiolitis obliterans: clinical, radiological and pulmonary function sequelae. Pediatr Radiol. 1998;28(1):23–9.PubMedCrossRefGoogle Scholar
  89. 89.
    Lynch D, Brasch R, Hardy K, Webb W. Pediatric pulmonary disease: assessment with high-resolution ultrafast CT. Radiology. 1990;176:243–8.PubMedGoogle Scholar
  90. 90.
    Lynch D, Hay T, Newell Jr JD, Divgi V, Fan L. Pediatric diffuse lung disease: diagnosis and ­classification by high-resolution CT. AJR Am J Roentgenol. 1999;173:713–8.PubMedGoogle Scholar
  91. 91.
    Padley SP, Adler BD, Hansell DM, Müller NL. Bronchiolitis obliterans: high resolution CT findings and correlation with pulmonary function tests. Clin Radiol. 1993;47(4):236–40.PubMedCrossRefGoogle Scholar
  92. 92.
    Worthy SA, Park CS, Kim JS, Müller NL. Bronchiolitis obliterans after lung transplantation: high-resolution CT findings in 15 patients. AJR Am J Roentgenol. 1997;169(3):673–7.PubMedGoogle Scholar
  93. 93.
    Reittner P, Müller NL, Heyneman L, Johkoh T, Park JS, Lee KS, et al. Mycoplasma pneumoniae pneumonia: radiographic and high-resolution CT features in 28 patients. AJR Am J Roentgenol. 2000;174(1):37–41.PubMedGoogle Scholar
  94. 94.
    Akira M, Higashihara T, Sakatani M, Hara H. Diffuse panbronchiolitis: follow-up CT examination. Radiology. 1993;189(2):559–62.PubMedGoogle Scholar

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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of RadiologyNational Jewish HealthDenverUSA

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