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Updated: Nov 8, 2025

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Mild dyspnea presenting as 'crazy-paving' on chest computed tomography.
1Department of Internal Medicine, Greater Baltimore Medical Center, Towson, Maryland, USA.
Pulmonary alveolar proteinosis (PAP) is a rare lung disease. This case highlights mild symptoms and incidental CT findings leading to a PAP diagnosis.
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Pulmonary alveolar proteinosis (PAP) is a rare lung disorder.
- Characterized by surfactant accumulation in alveoli.
- Often presents with progressive dyspnea.
Observation:
- A case of mild dyspnea is presented.
- Chest computed tomography (CT) revealed an incidental 'crazy-paving' pattern.
- This pattern is indicative of alveolar filling.
Findings:
- Further evaluation, including bronchoscopy, confirmed Pulmonary alveolar proteinosis (PAP).
- The 'crazy-paving' pattern on CT was a key diagnostic clue.
- This case underscores the importance of thorough investigation of incidental findings.
Implications:
- Highlights the diagnostic utility of CT imaging in rare lung diseases.
- Emphasizes the need for bronchoscopy in evaluating interstitial lung abnormalities.
- Contributes to understanding the varied presentations of Pulmonary alveolar proteinosis.
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