EURORAD ESR

Case 8379

Churg-Strauss syndrome

Author(s)
Gherarducci G, Zangani M, Lauretti D, Picano E, Masullo MG, Duzgol C, Bulleri A, Caramella D, Bartolozzi C
 
Patient
female, 55 year(s)
 
 
  • Figure 1
    Chest Radiograph. March 2008

    There is right perihilar consolidation and focal opacities mainly seen in the upper zone of the right lung.

     
     
     
  • Figure 2
    HRCT April 2008
     

    Sequential HRCT images from lung apices to the level of the lower lobes. Subpleural subsegmental consolidations and thickening of interlobular septae is seen in both lungs.

     
    Area of Interest: Lung; Procedure: Acceptance testing;

    Bilateral small subpleural consolidations are seen. Note subsegmental area of ground glass opacity in the anterior segment of the right upper lobe. Thickening of interlobular septae and centrilobular micronules in...

     

    Subsegmental areas of ground glass opacity, bronchial wall thickening and centrilobular micronodules are noted.

     

    Subpleural subsegmental areas of consolidation and ground-glass pattern are seen. Thickening of the interlobular septae and presence of centrilobular micronodules are also noted.

     

    Nodular area of consolidation and accompanying ground glass opacity is seen at the superior segment of the right lung.

     

    Patchy areas of subsegmental ground-glass attenuation are seen at the middle lobe and the superior segment of the right lower lobe associated with bronchial wall thickening and presence of centrilobular micronodules.

     

    Thickening of interlobular septae and peribronchovascular interstitium. Centrilobular micronodules are also noted.

     
     
     
  • Figure 3
    Follow-up chest radiograph. June 2008.

    New bilateral focal opacities are seen at the bases of both lungs. The right perihilar consolidation has resolved. Notice the remarkable reticulonodular pattern in the base of right lung.

     
     
     
  • Figure 4
    HRCT - July 2008
     

    Sequential HRCT images from the level of the lung apices to the level of the lower lobes. Bilateral subpleural focal consolidations and thickening of interlobular septae are seen, more prominent in the right lung.

     

    New subpleural focal consolidations are noted in the superior segment of the right lower lobe and in the apicoposterior segment of the left upper lobe. CT demonstrates thickening of bronchial walls and centrilobular...

     

    New focal consolidation with air-bronchogram and ill-defined nodules in the middle lobe are noted. The comparison of this CT with the previous one verifies the migratory character of the consolidations.

     

    Peripheral subsegmental nodular consolidations and GGO in both lower lobes are demonstrated. Centrilobular micronodules and thickening of bronchial walls in both lungs bases are seen.

     

    Bilateral subpleural areas of GGOand centrilobular micronodules are seen. CT demonstrates thickening of peribronchovascular interstitium and interlobular septae, which are remarkable at the bases.

     

    A focal subpleural consolidation in the the right lower lobe is seen. Patchy areas of GGO are seen in both lower lobes, middle lobe and lingula. Centrilobular nodules and bronchial thickening are present.

     
     
     
  • Figure 5
    CT of the paranasal sinuses. Chronic sinusitis
     

    CT documented a bilateral chronic sinusitis of etmoidals cells.

     

    CT documented a chronic sinusitis of the right frontal sinus.

     
     
     
There is right perihilar consolidation and focal opacities mainly seen in the upper zone of the right lung.
 
Sequential HRCT images from lung apices to the level of the lower lobes. Subpleural subsegmental consolidations and thickening of interlobular septae is seen in both lungs.
 
Bilateral small subpleural consolidations are seen. Note subsegmental area of ground glass opacity in the anterior segment of the right upper lobe. Thickening of interlobular septae and centrilobular micronules in both lungs are also demonstrated.
 
Subsegmental areas of ground glass opacity, bronchial wall thickening and centrilobular micronodules are noted.
 
Subpleural subsegmental areas of consolidation and ground-glass pattern are seen. Thickening of the interlobular septae and presence of centrilobular micronodules are also noted.
 
Nodular area of consolidation and accompanying ground glass opacity is seen at the superior segment of the right lung.
 
Patchy areas of subsegmental ground-glass attenuation are seen at the middle lobe and the superior segment of the right lower lobe associated with bronchial wall thickening and presence of centrilobular micronodules.
 
Thickening of interlobular septae and peribronchovascular interstitium. Centrilobular micronodules are also noted.
 
New bilateral focal opacities are seen at the bases of both lungs. The right perihilar consolidation has resolved. Notice the remarkable reticulonodular pattern in the base of right lung.
 
Sequential HRCT images from the level of the lung apices to the level of the lower lobes. Bilateral subpleural focal consolidations and thickening of interlobular septae are seen, more prominent in the right lung.
 
New subpleural focal consolidations are noted in the superior segment of the right lower lobe and in the apicoposterior segment of the left upper lobe. CT demonstrates thickening of bronchial walls and centrilobular micronodules.
 
New focal consolidation with air-bronchogram and ill-defined nodules in the middle lobe are noted. The comparison of this CT with the previous one verifies the migratory character of the consolidations.
 
Peripheral subsegmental nodular consolidations and GGO in both lower lobes are demonstrated. Centrilobular micronodules and thickening of bronchial walls in both lungs bases are seen.
 
Bilateral subpleural areas of GGOand centrilobular micronodules are seen. CT demonstrates thickening of peribronchovascular interstitium and interlobular septae, which are remarkable at the bases.
 
A focal subpleural consolidation in the the right lower lobe is seen. Patchy areas of GGO are seen in both lower lobes, middle lobe and lingula. Centrilobular nodules and bronchial thickening are present.
 
CT documented a bilateral chronic sinusitis of etmoidals cells.
 
CT documented a chronic sinusitis of the right frontal sinus.
 
 
 
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