Organising pneumonia

Images

Organising pneumonia

Medium-powered pathology slide showing circular and branching bronchioles filled with polypoid plugs of granulation tissue and alveoli filled with organising pneumonia

From the collection of Gary R. Epler, MD

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• Summary

Organising pneumonia

Chest x-ray showing bilateral patchy infiltrates

From the collection of Gary R. Epler, MD

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• Diagnosis Approach

Organising pneumonia

High-resolution chest CT showing bilateral ground glass opacities and a posterior triangular-based infiltrate with an air bronchogram

From the collection of Gary R. Epler, MD

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• Diagnosis Approach

Organising pneumonia

Algorithmic approach to organizing pneumonia. ∗ A formal MDD may not be required in all cases, especially if the combination of clinical context and radiographic pattern is sufficiently convincing of the OP diagnosis. In such cases, a discussion between the physician and the radiologist is strongly encouraged. CRP = C-reactive protein; DAH = diffuse alveolar hemorrhage; Dx = diagnosis; ESR = erythrocyte sedimentation rate; GGO = ground-glass opacification; HRCT = high-resolution CT; MDD = multidisciplinary discussion; nl Pro-Cal C = normal procalcitonin; nl WBC = normal WBC; OP = organizing pneumonia

Cherian SV, et al. Chest. 2022 Jul;162(1):156-78. doi: 10.1016/j.chest.2021.12.659. Epub 2022 Jan 14; used with permission

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• Diagnosis Approach

Videos

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  Late inspiratory crackles (rales)

  Auscultation sounds: late inspiratory crackles (rales)