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Year : 2006  |  Volume : 16  |  Issue : 4  |  Page : 983-984
Radiological quiz - chest


Department of Radio Diagnosis, K.A.P. Viswanathan Government Medical College, Trichy 620 017. Tamilnadu, India

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Date of Submission10-Sep-2006
Date of Acceptance20-Nov-2006
 

How to cite this article:
Ravi R, Mazharunissa A, Meenal J D, Sridharan K. Radiological quiz - chest. Indian J Radiol Imaging 2006;16:983-4

How to cite this URL:
Ravi R, Mazharunissa A, Meenal J D, Sridharan K. Radiological quiz - chest. Indian J Radiol Imaging [serial online] 2006 [cited 2019 Aug 24];16:983-4. Available from: http://www.ijri.org/text.asp?2006/16/4/983/32408
A 22 years old lady presented with progressive exertional dyspnoea of insidious onset and cough. No fever, chest pain or haemoptysis. Inspiratory crackles present. Frontal chest radiograph and HRCT done.

Chest Radiograph [Figure - 1] shows bilateral air space disease with ill-defined coalescing nodular lesions.

HRCT axial sections showed [Figure - 2][Figure - 3][Figure - 4] patchy ground glass opacity with interlobular and intralobular septal thickening of polygonal shape a pattern typically referred as crazy paving. Peripheral lobules are spared. Patient underwent bronchoalveolar lavage. HPE of the lavage material [Figure - 5] showed many scattered macrophages, Periodic acid Schiff positive oesinophilic bodies, few lymphocytes and endobronchial cells suggestive of Pulmonary Alveolar Proteinosis.


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   References Top

1.Sudhakar Pipavath, MD, J. David Godwin, Imaging of Interstitial lung disease, Radiol clin N Am 43 (2005) Pg. 598.  Back to cited text no. 1    
2.Grainger and Allison's Diagnostic radiology, A Text book of Medical Imaging, 4th ed. Vol 1. 601 & 602.  Back to cited text no. 2    
3.Cotran kumar Robbins, Pathologic basis of Diseases, 4th ed. 795.  Back to cited text no. 3    
4.Bruce C, Trapnell MD, Jeffery A Whitsett MD, and KOH Nakata MD. Ph D, Pulmonary Alveolar Proteinosis Review Article, Vol. 349; 2527 - 2539 Dec 25, 2003, Number 26.   Back to cited text no. 4    
5.OD Schoch, U Schanz, M. Koller, K Nakata, JF Seymoler, EW Russi and A Boehler BAL findings in a patient with Pulmonary Alveolar Proteinosis successfully treated with GM - CSF - A case report. Thorax 2002; 57 ; 277 - 280.   Back to cited text no. 5    

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Correspondence Address:
R Ravi
Department of Radio Diagnosis, K.A.P. Viswanathan Government Medical College, Trichy 620 017. Tamilnadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.32408

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    Figures

  [Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5]



 

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