EURORAD ESR

Case 14941

Idiopathic Pulmonary Hemosiderosis

Author(s)
Geoffrey Pittman, Junior Medical Student, Augusta University; Chris Scelsi DO, Nikhil G Patel MD, Jayanth H. Keshavamurthy, MD-Assistant Professor, Radiology, Augusta University.

1120 15Th street, BA-1411 30912 Augusta, United States of America; Email:jkeshavamurthy@augusta.edu
 
Patient
female, 6 year(s)
 
 
  • Figure 1
    Chest Radiograph

    Frontal chest radiograph demonstrates bilateral airspace opacities predominantly within the mid and lower lungs.

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Haemorrhage;
     
     
  • Figure 2
    Non-contrasted axial CT
     

    Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;

    Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.

     
    Area of Interest: Lung; Imaging Technique: CT-High Resolution; Procedure: Diagnostic procedure; Special Focus: Tissue characterisation;
     
     
  • Figure 3
    Histopathology
     

    H&E staining at low power demonstrates the presence of hemosiderin laden macrophages

     
    Area of Interest: Lung; Imaging Technique: Experimental; Procedure: Biopsy; Special Focus: Pathology;

    H&E staining at medium power demonstrates the presence of hemosiderin laden macrophages

     
    Area of Interest: Lung; Imaging Technique: Experimental; Procedure: Biopsy; Special Focus: Pathology;

    H&E staining at high power demonstrates the presence of hemosiderin laden macrophages

     
    Area of Interest: Lung; Imaging Technique: Experimental; Procedure: Biopsy; Special Focus: Pathology;
     
     
Frontal chest radiograph demonstrates bilateral airspace opacities predominantly within the mid and lower lungs.
 
Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.
 
Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.
 
Non-contrasted axial CT demonstrates bilateral ground glass opacities within the right greater than left upper lobes. Denser airspace opacification is present within the posterior right upper lobe.
 
H&E staining at low power demonstrates the presence of hemosiderin laden macrophages
 
H&E staining at medium power demonstrates the presence of hemosiderin laden macrophages
 
H&E staining at high power demonstrates the presence of hemosiderin laden macrophages
 
 
 
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