Pääkkö P
Eur J Respir Dis. 1981 Oct;62(5):289-96.
To evaluate the patterns of chronic interstitial and granulomatous inflammation, scars and lymphangitis carcinomatosa in radiographs of excised air-inflated lungs at autopsy, the distribution of these findings in 89 lungs was determined histologically on 441 sections sampled systematically. Pathologic-radiologic correlations were studied on the basis of 29 sections from 18 lungs selected to represent unequivocally the features in question. Chronic interstitial pneumonia exhibited uneven, trabecular or macular densities distributed randomly. Honeycomb lung was characterized by a coarse reticular pattern with fairly regular and roundish translucencies measuring 2-20 mm in diameter. Granulomas of miliary tuberculosis and sarcoidosis appeared as roundish macular densities, 2-5 mm in diameter. The former were randomly distributed while the latter seemed to follow lobular septa. Scars appeared as randomly distributed, either trabecular, star-shaped or polygonal densities. Several larger scars contained calcified foci. Intraparenchymal scars of at least 2 mm in diameter, and even smaller subpleural scars, were visible radiographically. Lymphangitis carcinomatosa appeared as unevenly thick linear opacities.
为了评估尸检时切除并充气的肺脏X线片中慢性间质性和肉芽肿性炎症、瘢痕及癌性淋巴管炎的表现模式，对89个肺脏的441个系统性采样切片进行了组织学检查，以确定这些表现的分布情况。基于从18个肺脏选取的29个切片，明确研究了病理与放射学的相关性，这些切片能够清晰地代表相关特征。慢性间质性肺炎表现为分布不均的条索状或斑片状密度影，呈随机分布。蜂窝肺的特征是粗网状影，伴有直径2至20毫米、大小较为规则且呈圆形的透亮区。粟粒性肺结核和结节病的肉芽肿表现为直径2至5毫米的圆形斑片状密度影。前者随机分布，而后者似乎沿小叶间隔分布。瘢痕表现为随机分布的条索状、星形或多边形密度影。一些较大的瘢痕含有钙化灶。直径至少2毫米的实质内瘢痕，甚至更小的胸膜下瘢痕，在X线片上可见。癌性淋巴管炎表现为厚度不均的线状致密影。
