PATHOLOGY OF SECONDERY LOBULE

DR. EDDAN ATHIR

Radiology department
Institiution of pneomophysiology MARIUS NASTA
Normal HRCT
FOUR MAIN CATEGORIES OF HRCT
ABNORMALITIES

RETICULAR PATCHES

CYSTIC NODULAR
 PATCHES OPACITIES
SUB-TYPE

INSP

CONSOLIDATION

EXP

GGO
 GROUND GLASS OPACITY

1. Hazy increased attenuation of lung, but with

preservationof bronchial and vascular margins;
2. In patients with GGO, vessels usually appear equal in
size through the lung;

3. Caused by:
a) partial filling of airspaces.
b)interstitial thickening.
c)partial collapse of alveoli.
 GROUND GLASS OPACITY
(DD)
 A- Un well  B- Well
( acute) (chronic)
1- Hemorrhage 1- COP
2- Edema 2- CEP
3- ARDS 3- NSIP
4- Atypicalpneumonia: 4- UIP
* SARS 5- PAP
* COVID-19 6- EAA
*PCP 7- Sarcoidosis
*CMV 8- Bronchoalveolar carcinom
A- Un-well ( acute)

p. hemorrhage p.edema

PCP CMV
B-Well ( chronic)

BA ca
CEP NSIP

UIP
PAP EAA
 CT signs of GGO
1- CT Halo sign

1- Invasive aspergilosis.

2-Hipervascular/
hemorrhagic metastases.

3- Wegner
granulomatosis.

4- Kaposi sarcoma.

5- invasive mucinous
adenocarcinoma

6- COVID 19.
Halo sign
2- INVERTED HALO SIGN

1-COP
2-CEP
3- COVID-19
Inverted halo sign
Inverted halo sign
3-CRAZY PAVING SIGN
Caz clinic
B, 70 ani
Fost fumator 30Pa
APP: BCI, cardiostimulare 2012, ICC clasa II
Fara expuneri la noxe profesionale
Simptomatologie debutata de 3 ani: dispnee
la eforturi, accentuata progresiv, tuse
productiva
31.05.2018 – prima evaluare
Functie pulmonara normala
27.01.2020
Functie pulmonara usor scazuta
Turcia – PID cu etiologie neprecizata - tratamet cortizon
29.07.2020
Functie pulmonara moderat scazuta
Punctie biopsie pulmonara LID