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Non-specific interstitial pneumonia showing a "crazy paving" pattern on high resolution CT
E Coche1, B Weynand, P Noirhomme
1Department of Radiology, Cliniques Universitaires St-Luc, Brussels, Belgium.
The British Journal of Radiology
|November 23, 2001
Summary
Non-specific interstitial pneumonia (NSIP) typically shows ground-glass opacity on CT scans. A rare case presented with a "crazy paving pattern," usually seen in other lung diseases, highlighting diagnostic challenges.
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Non-specific interstitial pneumonia (NSIP) is an interstitial lung disease characterized by uniform inflammation and fibrosis.
- High-resolution computed tomography (HRCT) commonly reveals subpleural ground-glass opacity and irregular linear opacities in NSIP.
Observation:
- This report details an unusual HRCT presentation of NSIP.
- The observed pattern mimicked the "crazy paving pattern".
Findings:
- The "crazy paving pattern" in this NSIP case featured smoothly thickened interlobular septa with superimposed ground-glass opacity.
- This radiological finding is typically associated with other interstitial or alveolar lung diseases, not commonly NSIP.
Implications:
- The unusual HRCT findings in NSIP can mimic other lung pathologies, posing diagnostic challenges.
- Recognizing atypical presentations of NSIP is crucial for accurate diagnosis and patient management.