Rofo 2008; 180(7): 614-620
DOI: 10.1055/s-2008-1027449
Übersicht

© Georg Thieme Verlag KG Stuttgart · New York

Typische und atypische Morphologie der kryptogen organisierenden Pneumonie in der Computertomografie

Cryptogenic Organizing Pneumonia: Typical and Atypical Imaging Features on Computed TomographyO. W. Hamer1 , C. I. Silva2 , N. L. Müller2
  • 1Institut für Röntgendiagnostik, Klinikum der Universität Regensburg
  • 2Section of Chest Imaging, Department of Radiology, Vancouver General Hospital, Kanada
Further Information

Publication History

eingereicht: 3.2.2008

angenommen: 15.4.2008

Publication Date:
29 May 2008 (online)

Zusammenfassung

Die organisierende Pneumonie (OP) tritt sowohl idiopathisch auf („kryptogen organisierende Pneumonie”) als auch als Folge unterschiedlichster Auslöser („sekundär organisierende Pneumonie”). Häufige Trigger sind Infektionen, Medikamente, Kollagenosen, chronisch entzündliche Darmerkrankungen, Organtransplantationen und Bestrahlungen im Thorakalbereich. Die vorliegende Arbeit gibt einen Überblick über die histopathologischen, klinischen und CT-morphologischen Charakteristika der OP. Hierbei werden sowohl die klassischen, bildgebenden Zeichen (periphere oder peribronchovaskuläre Konsolidierungen und Milchglastrübungen) als auch atypische Morphologien (Noduli, Crazy Paving, Linien und Bänder, perilobuläre Konsolidierungen und das Reversed Halo Zeichen) vorgestellt.

Abstract

Organizing pneumonia (OP) occurs without any identifiable cause (”cryptogenic organizing pneumonia”) as well as secondary to a multitude of disorders of various origins (”secondary organizing pneumonia”). Possible triggers are infections, drugs, collagen vascular disease, inflammatory bowel disease, transplantations, and radiation directed to the chest. The present manuscript provides an overview of the histopathological, clinical and CT imaging features of OP. Classic CT morphologies (peripheral and peribronchovascular consolidations and ground glass opacities) and atypical imaging features (nodules, crazy paving, lines and bands, perilobular consolidations and the reversed halo sign) are discussed.

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Dr. O. W. Hamer

Institut für Röntgendiagnostik, Klinikum der Universität Regensburg

Franz-Josef-Strauss-Allee 11

93042 Regensburg

Phone: ++ 49/9 41/9 44 74 01

Fax: ++ 49/9 41/9 44 74 02

Email: o.hamer@gmx.de