Micronodular pattern organising pneumonia mimicking miliary lung disease: a rare radiological presentation.
David NgGarun HamiltonEric HuKenneth LauPublished in: BMJ case reports (2021)
Organising pneumonia (OP) is an interstitial lung disease characterised by granulation tissues in alveoli and alveolar ducts. Typical imaging findings are migratory airspace opacities with peripheral or peribronchovascular distribution. Diffuse micronodular OP (MNOP) is a rare imaging manifestation, which has imaging differential diagnosis of endobronchial infection such as tuberculosis, hypersensitivity pneumonitis and respiratory bronchiolitis. Although clinical and ancillary radiological findings may aid in refining the differential diagnosis, histopathological assessment is frequently required for this rare presentation due to implications of treatment and prognosis. We report a case of MNOP and performed a review of the literature.
Keyphrases
- interstitial lung disease
- high resolution
- systemic sclerosis
- gene expression
- rheumatoid arthritis
- idiopathic pulmonary fibrosis
- mycobacterium tuberculosis
- case report
- intensive care unit
- mass spectrometry
- acute respiratory distress syndrome
- human immunodeficiency virus
- photodynamic therapy
- extracorporeal membrane oxygenation
- low grade
- hiv infected