Department of Radiology, Tenri Hospital, Nara, Japan.
J Thorac Imaging. 2013 Jan;28(1):W24-6. doi: 10.1097/RTI.0b013e31826af2b7.
This case report describes a 64-year-old woman with interstitial lung disease associated with clinically amyopathic dermatomyositis. Chest computed tomography revealed consolidations along bronchovascular bundles in the periphery of the lower lungs. Interstitial lung disease developed acutely, and the patient died 3 months after the clinical diagnosis. An autopsy was performed, and a large section of the lung specimen was prepared. Various interstitial lesions including organizing pneumonia, cellular and fibrotic nonspecific interstitial pneumonia, and diffuse alveolar damage were seen in the large section. Correlating the large section and computed tomography images was useful for determining the distribution of diffuse alveolar damage.
本病例报告描述了一例 64 岁女性患有与临床无肌病性皮肌炎相关的间质性肺病。胸部计算机断层扫描显示肺下叶周边沿支气管血管束有实变。间质性肺病急性发作，临床诊断后 3 个月患者死亡。进行了尸检，并准备了一大段肺标本。在大段中观察到各种间质性病变，包括机化性肺炎、细胞性和纤维性非特异性间质性肺炎以及弥漫性肺泡损伤。大段与计算机断层扫描图像的相关性有助于确定弥漫性肺泡损伤的分布。
