Lederer A, Kullnig P, Pongratz M
Univ.-Klinik für Radiologie, Karl-Franzens-Universität Graz.
Rofo. 1992 Sep;157(3):257-61. doi: 10.1055/s-2008-1033009.
The CT changes on conventional and high-resolution CT in 14 patients with exogenous allergic alveolitis (EAA) were analysed retrospectively. There were 8 patients with clinically subacute disease, 5 patients in a chronic stage and 1 patient with acute EAA. The appearances and their distribution were examined. Seven of the 8 patients in the subacute stage showed a ground glass pattern and multiple nodules of less than 2 mm. All patients in the chronic stage showed a combination of fine infiltrates, small nodules and irregular linear densities; distortion of the pulmonary pattern was present in 3 cases. The patient with acute EAA showed diffuse dense areas of consolidation in both lungs as well as multiple nodules and a ground glass pattern. The CT appearances of EAA correspond with the basic micropathology and, within the clinical context, permit diagnostic classification.
回顾性分析了14例外源过敏性肺泡炎(EAA)患者的常规CT及高分辨率CT表现。其中临床亚急性期8例,慢性期5例,急性EAA 1例。观察其表现及分布情况。亚急性期8例患者中7例表现为磨玻璃影及多发直径小于2mm的结节。慢性期所有患者均表现为细小结节影、小结节及不规则线状密度影的组合;3例出现肺纹理扭曲。急性EAA患者双肺表现为弥漫性实变影,伴有多发结节及磨玻璃影。EAA的CT表现与基本微观病理相符,结合临床情况可进行诊断分类。