Demographics:
44 years old, Female
Indication:
Dyspnea not improving after antibiotics
Findings
Chest radiograph
- No focal airspace opacification or edema
- Aortic atherosclerosis
CT
Chest
- Multifocal bilateral peripheral consolidation and groundglass opacities
- Several opacities demonstrate relative central hypoattenuation
- Mild central bronchial wall thickening
- Conspicuous number of nonenlarged mediastinal and bilateral hilar lymph nodes
- Thoracic aortic atherosclerosis without aneurysm
Upper abdomen
- No acute findings
- Cholecystectomy
MSK
- No acute findings
- T8 superior endplate Schmorl's node
Diagnosis
Cryptogenic organizing pneumonia
Sample Report
Multifocal bilateral peripheral airspace disease which could relate to atypical infection. However, given reported lack of improvement on antibiotics, cryptogenic organizing pneumonia is an additional consideration and could have this imaging appearance. Recommend followup chest CT after treatment to ensure resolution.
Discussion