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Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia

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Radiographic patterns in the diagnostic approach to organizing pneumonia.

C Utrilla Contreras¹, M Fernández-Velilla Peña², F García Río³

¹Servicio de Radiodiagnóstico, Hospital Universitario La Paz, Madrid, España.

Revista Clinica Espanola

|December 17, 2013

Summary

A non-smoker presented with worsening cough and dyspnea, initially diagnosed with bronchopneumonia. Advanced imaging revealed a "crazy-paving" pattern, necessitating intensive care and lung biopsy for diagnosis.

Keywords:

Alveolar opacities Computed tomography Criptogenética Cryptogenic Neumonía organizativa Opacidades alveolares Organizing pneumonia Patrones radiológicos Radiographic patterns Tomografía computarizada

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Area of Science:

Pulmonology
Radiology
Critical Care Medicine

Background:

A 56-year-old non-smoking woman presented with a month of dry cough and dyspnea.
Symptoms acutely worsened, leading to emergency department admission.

Observation:

Chest X-ray revealed bilateral alveolar opacities, suggesting bronchopneumonia and partial respiratory failure.
High-resolution computed tomography (HRCT) demonstrated a "crazy-paving" pattern of ground glass opacities with interlobular septal thickening, predominantly in the lower lobes.

Findings:

The patient required mechanical ventilation and intensive care unit admission due to respiratory deterioration.
An open lung biopsy was performed for definitive diagnosis.

Implications:

The "crazy-paving" pattern on HRCT is a significant finding in acute respiratory conditions.
This case highlights the importance of advanced imaging and invasive procedures for diagnosing complex pulmonary diseases.
Prompt diagnosis and management are crucial for patients with acute respiratory failure.