进行性呼吸困难，胸部计算机断层扫描显示铺路石样表现。
Progressive dyspnea associated with a crazy-paving appearance on a chest computed tomography scan.
作者信息
Maimon Nimrod, Paul Narinder, Downey Gregory P
机构信息
Division of Respiratory, Department of Medicine, University of Toronto, Toronto, Ontario.
出版信息
Can Respir J. 2006 Jul-Aug;13(5):269-71. doi: 10.1155/2006/203830.
Abstract
A 'crazy-paving' appearance of the lungs on computed tomography scanning of the chest was first described nearly 20 years ago in patients with pulmonary alveolar proteinosis, and was thought to be characteristic of this condition. However, this pattern has subsequently been reported in a variety of pulmonary diseases and is now considered to be nonspecific. The present report describes a case of a 74-year-old man in whom congestive heart failure presented with a crazy-paving appearance of the lungs on a chest computed tomography scan. This uncommon association illustrates the importance of the correlation of clinical and radiographic information.
摘要
近20年前，胸部计算机断层扫描显示肺部呈“碎石路”样表现首次在肺泡蛋白沉积症患者中被描述，并被认为是该病症的特征。然而，随后这种表现已在多种肺部疾病中被报道，现在被认为是非特异性的。本报告描述了一名74岁男性病例，其充血性心力衰竭在胸部计算机断层扫描中表现为肺部“碎石路”样外观。这种不常见的关联说明了临床信息与影像学信息相互关联的重要性。
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本文引用的文献
1
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2
"Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview.肺部薄层CT的“铺路石征”：放射学-病理学概述
Radiographics. 2003 Nov-Dec;23(6):1509-19. doi: 10.1148/rg.236035101.
3
Changes in lung parenchyma after acute respiratory distress syndrome (ARDS): assessment with high-resolution computed tomography.急性呼吸窘迫综合征（ARDS）后肺实质的变化：高分辨率计算机断层扫描评估
Eur Radiol. 2001;11(12):2436-43. doi: 10.1007/s003300101103. Epub 2001 Sep 15.
4
Non-specific interstitial pneumonia showing a "crazy paving" pattern on high resolution CT.
Br J Radiol. 2001 Feb;74(878):189-91. doi: 10.1259/bjr.74.878.740189.
5
"Crazy paving appearance" on high resolution CT in various diseases.多种疾病在高分辨率CT上的“碎石路样表现”
J Comput Assist Tomogr. 1999 Sep-Oct;23(5):749-52. doi: 10.1097/00004728-199909000-00021.
6
Crazy-paving appearance at thin-section CT: spectrum of disease and pathologic findings.薄层CT上的铺路石样表现：疾病谱与病理表现
Radiology. 1999 Apr;211(1):155-60. doi: 10.1148/radiology.211.1.r99ap10155.
7
The crazy-paving pattern in exogenous lipoid pneumonia: CT-pathologic correlation.外源性类脂性肺炎的铺路石样表现：CT与病理对照
AJR Am J Roentgenol. 1998 Feb;170(2):315-7. doi: 10.2214/ajr.170.2.9456935.
8
High-resolution CT findings of mucinous bronchioloalveolar carcinoma: a case of pseudopulmonary alveolar proteinosis.
AJR Am J Roentgenol. 1997 Jan;168(1):99-100. doi: 10.2214/ajr.168.1.8976928.
9
Pulmonary alveolar proteinosis: CT findings.
Radiology. 1988 Dec;169(3):609-13. doi: 10.1148/radiology.169.3.3186983.
10
Computed tomography appearances of pulmonary alveolar proteinosis.
Clin Radiol. 1989 May;40(3):240-3. doi: 10.1016/s0009-9260(89)80180-1.
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