Nonspecific interstitial pneumonia with fibrosis: radiographic and CT findings in seven patients.
Nonspecific interstitial pneumonia with fibrosis: radiographic and CT findings in seven patients.
复制标题
伴有纤维化的非特异性间质性肺炎：7 名患者的放射学和 CT 表现。
作者：
Jai;K. Lee;Jeung;Choon;Y. Suh;D. Choi;Ki Jung Kim
目的
描述7例非特异性间质性肺炎伴纤维化（NIP）患者的放射学和计算机断层扫描（CT）结果。
材料和方法
所有患者均经病理证实为NIP。审查了X线片和初始以及1-15个月随访CT的结果。
结果
主要的影像学异常是6例患者双侧中肺和下肺区域的片状实质混浊; 1例患者的胸片显示无异常。在最初的薄层CT扫描中观察到的最常见的发现是双侧斑片状的磨玻璃样衰减区域，5名患者（71%）单独存在或合并实变区域，2名患者（29%）存在不规则线条。在随访CT时，3例患者的初始实质异常完全消退，另外3例改善，1例持续存在。
结论
影像学上双侧斑片状不透明区和良好的临床治疗反应可将NIP与其他间质性肺炎区分开来。
PURPOSE
To describe the radiographic and computed tomographic (CT) findings in seven patients with nonspecific interstitial pneumonia with fibrosis (NIP).
MATERIALS AND METHODS
NIP was proved pathologically in all patients. Findings at radiography and initial and 1-15-month follow-up CT were reviewed.
RESULTS
The predominant radiographic abnormalities were areas of patchy parenchymal opacification present bilaterally in the middle and lower lung zones in six patients; in one patient, the chest radiograph depicted no abnormality. The most common finding observed on initial thin-section CT scans was bilateral, patchy areas of ground-glass attenuation present alone or with areas of consolidation in five patients (71%) or irregular lines in two (29%). At follow-up CT, the initial parenchymal abnormalities had resolved completely in three patients, improved in another three, and persisted in one.
CONCLUSION
Bilateral patchy areas of opacity depicted radiographically and good clinical response to treatment may differentiate NIP from other interstitial pneumonias.