カテゴリーアーカイブ: 回答

エキスパートはこう考える第6回　回答

投稿日: 作成者:

iphone movie

<Key words>

肺胞上皮癌、bronchioloalveolarCarcinoma、bronchoalveolar cell carcinoma、BAC、粘液産生、

CT angiogram sign,大葉性肺炎、大葉性陰影、陰影消長、悪性リンパ腫、malignant lymphoma

<文献リスト>

Trigaux JP, Gevenois PA, Goncette L, et al.
Bronchioloalveolar carcinoma: computed tomography findings.
Eur Respir J. 1996 Jan;9(1):11-6.
http://erj.ersjournals.com/cgi/reprint/9/1/11

Lee KS, Kim Y, Han J, et al.
Bronchioloalveolar carcinoma: clinical, histopathologic, and radiologic findings.
Radiographics. 1997 Nov-Dec;17(6):1345-57.
http://radiographics.rsna.org/content/17/6/1345.long

Aquino SL, Chiles C, Halford P.
Distinction of consolidative bronchioloalveolar carcinoma from pneumonia: do CT criteria work? 
AJR Am J Roentgenol. 1998 Aug;171(2):359-63.
http://www.ajronline.org/cgi/reprint/171/2/359

Akira M, Atagi S, Kawahara M, Iuchi K, Johkoh T.
High-resolution CT findings of diffuse bronchioloalveolar carcinoma in 38 patients. 
AJR Am J Roentgenol. 1999 Dec;173(6):1623-9.
http://www.ajronline.org/cgi/reprint/173/6/1623

Kim TH, Kim SJ, Ryu YH, et al.
Differential CT features of infectious pneumonia versus bronchioloalveolar carcinoma (BAC) mimicking pneumonia. 
Eur Radiol. 2006 Aug;16(8):1763-8. Epub 2006 Jan 18.

Patsios D, Roberts HC, Paul NS, et al.
Pictorial review of the many faces of bronchioloalveolar cell carcinoma. 
Br J Radiol. 2007 Dec;80(960):1015-23. Epub 2007 Oct 16.
http://bjr.birjournals.org/cgi/reprint/80/960/1015

Sawada E, Nambu A, Motosugi U, et al.
Localized mucinous bronchioloalveolar carcinoma of the lung: thin-section computed tomography and fluorodeoxyglucose positron emission tomography findings. 
Jpn J Radiol. 2010 May;28(4):251-8. Epub 2010 May 29.

CT angiogram sign 関連

Im JG, Han MC, Yu EJ, et al.
Lobar bronchioloalveolar carcinoma: “angiogram sign” on CT scans. 
Radiology. 1990 Sep;176(3):749-53.

Vincent JM, Ng YY, Norton AJ, Armstrong P.
CT “angiogram sign” in primary pulmonary lymphoma.
J Comput Assist Tomogr. 1992 Sep-Oct;16(5):829-31.

Murayama S, Onitsuka H, Murakami J, et al.
“CT angiogram sign” in obstructive pneumonitis and pneumonia. 
J Comput Assist Tomogr. 1993 Jul-Aug;17(4):609-12.

Shah RM, Friedman AC.
CT angiogram sign: incidence and significance in lobar consolidations evaluated by contrast-enhanced CT. 
AJR Am J Roentgenol. 1998 Mar;170(3):719-21.
http://www.ajronline.org/cgi/reprint/170/3/719

Maldonado RL.
The CT angiogram sign.
Radiology. 1999 Feb;210(2):323-4.

リンパ腫
Ooi GC, Chim CS, Lie AK, Tsang KW
Computed tomography features of primary pulmonary non-Hodgkin’s lymphoma. 
Clin Radiol. 1999 Jul;54(7):438-43. 

King LJ, Padley SP, Wotherspoon AC, Nicholson AG.
Pulmonary MALT lymphoma: imaging findings in 24 cases. 
Eur Radiol. 2000;10(12):1932-8.

Lee DK, Im JG, Lee KS, Lee JS, Seo JB, Goo JM, Kim TS, Lee JW.
B-cell lymphoma of bronchus-associated lymphoid tissue (BALT): CT features in 10 patients.
J Comput Assist Tomogr. 2000 Jan-Feb;24(1):30-4.

<キー画像＞

1 年前正常時胸部単純写真 10 ヶ月前肺炎発症時
今回の胸部単純写真正面像 今回の胸部単純写真側面像
肺炎改善後 造影 CT 縦隔条件
造影 CT 肺野条件

エキスパートはこう考える第５回　回答

投稿日: 作成者:

iphone movie

<key words>

びまん性汎細気管支炎、diffuse panbronchiolitis, DPB, 小葉中心性、分枝状 影、Y字、V字、細気管支炎, adult T-cell leukemia, lymphoma、非定型抗酸菌症、びまん性誤嚥性細気管支炎

<参考文献＞

・DPBの論文

Akira M, Kitatani F, Lee YS, et al.

Diffuse panbronchiolitis: evaluation with high-resolution CT.

Radiology 1988 ;168:433-488.

Nishimura K, Kitaichi M, Izumi T, et al.

Diffuse panbronchiolitis: correlation of high-resolution CT and pathologic findings.

Radiology. 1992;184:779-785.

Akira M, Higashihara T, Sakatani M, et al.

Diffuse panbronchiolitis: follow-up CT examination.

Radiology. 1993 ;189:559-62.

Hansell DM.

Small airways diseases: detection and insights with computed tomography.

Eur Respir J. 2001 ;17:1294-313.

Xie GS, Li LY, Liu HR, et al.

Diffuse panbronchiolitis with histopathological confirmation among Chinese.

Chin Med J (Engl). 2004 ;117:1299-303.

・ATL関連の論文

Okada F, Ando Y, Kondo Y, et al.

Thoracic CT findings of adult T-cell leukemia or lymphoma.

AJR Am J Roentgenol. 2004 ;182:761-767.

Okada F, Ando Y, Yoshitake S, et al.

Pulmonary CT findings in 320 carriers of human T-lymphotropic virus type 1.

Radiology. 2006 Aug;240(2):559-64

<キー画像＞

胸部単純半年前正面

 

今回のエピソードの 3 ヶ月後胸部単純正面

今回のエピソード胸部単純正面

今回のエピソード トラムライン 拡大

 

 

 

今回のエピソード胸部単純側面像

 

 

 

CT1

CT2

 

 

 

CT3

CT4(一ヵ月後のCT）

副鼻腔CT

エキスパートはこう考える第2回 回答

投稿日: 作成者:

iphone用動画

<key word>喫煙、尿崩症、両肺対称性網状陰影、上肺優位の縮み、多発空洞性陰影、多発結節影、骨病変、Langerhans cell histiocytosis, LCH, eosinophilic granuloma, 好酸球性肉芽腫

＜key画像＞

下垂体 MRI

骨病変 1

骨病変 2

縦隔条件 1

縦隔条件 2

縦隔条件 3

側頭骨 1

肺野条件 1
肺野条件 2

肺野条件 3

＜文献＞

LCH肺
Abbott GF, Rosado-de-Christenson ML, et al.
From the archives of the AFIP: pulmonary Langerhans cell
histiocytosis.
Radiographics. 2004 May-Jun;24(3):821-41.

http://radiographics.rsna.org/content/24/3/821.full.pdf+html

Leatherwood DL, Heitkamp DE, Emerson RE.
Best cases from the AFIP: Pulmonary Langerhans cell
histiocytosis.
Radiographics. 2007 Jan-Feb;27(1):265-8.

http://radiographics.rsna.org/content/27/1/265.full.pdf+html

Sundar KM, Gosselin MV, Chung HL, Cahill BC.
Pulmonary Langerhans cell histiocytosis: emerging concepts
in pathobiology, radiology, and clinical evolution of
disease.
Chest. 2003 May;123(5):1673-83.

http://chestjournal.chestpubs.org/content/123/5/1673.full.pdf+html

Kulwiec EL, Lynch DA, Aguayo SM, Schwarz MI, King TE Jr.
Imaging of pulmonary histiocytosis X.
Radiographics. 1992 May;12(3):515-26.

http://radiographics.rsna.org/content/12/3/515.long

LCH縦隔
Donnelly LF, Frush DP.
Langerhans’ cell histiocytosis showing low-attenuation
mediastinal mass and cystic lung disease.
AJR Am J Roentgenol. 2000 Mar;174(3):877-8.
http://www.ajronline.org/cgi/content/full/174/3/877-a

LCH 全般
Meyer JS, Harty MP, Mahboubi S, Heyman S, Zimmerman RA,
Womer RB, Dormans JP, D’Angio GJ.
Langerhans cell histiocytosis: presentation and evolution
of radiologic findings with clinical correlation.
Radiographics. 1995 Sep;15(5):1135-46.

http://radiographics.rsna.org/content/15/5/1135.long

LCH 頭部

D’Ambrosio N, Soohoo S, Warshall C, Johnson A, Karimi S.
Craniofacial and intracranial manifestations of langerhans
cell histiocytosis: report of findings in 100 patients.
AJR Am J Roentgenol. 2008 Aug;191(2):589-97.

http://www.ajronline.org/cgi/reprint/191/2/589

Grois N, Prayer D, Prosch H, Lassmann H; CNS LCH
Co-operative Group.
Neuropathology of CNS disease in Langerhans cell
histiocytosis.
Brain. 2005 Apr;128(Pt 4):829-38. Epub 2005 Feb 10.

http://brain.oxfordjournals.org/cgi/reprint/128/4/829

Prayer D, Grois N, Prosch H, Gadner H, Barkovich AJ.
MR imaging presentation of intracranial disease associated
with Langerhans cell histiocytosis.
AJNR Am J Neuroradiol. 2004 May;25(5):880-91.

http://www.ajnr.org/cgi/reprint/25/5/880

LCH骨
Stull MA, Kransdorf MJ, Devaney KO.
Langerhans cell histiocytosis of bone.
Radiographics. 1992 Jul;12(4):801-23.

http://radiographics.rsna.org/content/12/4/801.long

Sartoris DJ, Parker BR.
Histiocytosis X: rate and pattern of resolution of osseous
lesions.
Radiology. 1984 Sep;152(3):679-84.

http://radiology.rsna.org/content/152/3/679.long

LCH甲状腺
Uchiyama M, Watanabe R, Ito I, Ikeda T.
Thyroid involvement in pulmonary langerhans cell
histiocytosis.
Intern Med. 2009;48(23):2047-8. Epub 2009 Dec 1.
http://www.jstage.jst.go.jp/article/internalmedicine/48/23/2047/_pdf

LCH肝
Radin DR.
Langerhans cell histiocytosis of the liver: imaging
findings.
AJR Am J Roentgenol. 1992 Jul;159(1):63-4.

http://www.ajronline.org/cgi/reprint/159/1/63

エキスパートはこう考える第1回 回答

投稿日: 作成者:

↓iphone用の動画

＜キーワード＞

びまん性肺疾患、HRCT、volume loss, 容量減少、左右対称性陰影、bronchovascular bandle、気管支血管束、薬剤性肺障害、好酸球性肺炎、薬剤性好酸球性肺炎,traction bronchiectasis, 牽引性気管支拡張

＜key画像＞

2005 年 3 月正常時の単純写真

呼吸困難時、 2005 年末の胸部単純写真

呼吸困難時の胸部 CT1

呼吸困難時の胸部 CT2
＜参考文献＞Souza CA, et al.
Drug-induced eosinophilic pneumonia: high-resolution CT findings in 14 patients.AJR. 2006 ;186:368-73.
http://www.ajronline.org/cgi/reprint/186/2/368Akira M, et al.
Drug-induced pneumonitis: thin-section CT finding in 60 patients. Radiology. 2002;224 :852-860
http://radiology.rsna.org/content/224/3/852.full.pdf+htmlEllis, SJ, et al.
Drug-induced lung disease: high-resolution CT findings. AJR. 2000;175 :1019-1024
http://www.ajronline.org/cgi/reprint/175/4/1019Cleverley JR, et al.
Drug-induced lung disease: high-resolution CT and histological findings.Clin Radiol. 2002;57:292-9.
Johkoh T, et al.
Eosinophilic lung diseases: diagnostic accuracy of thin-section CT in 111 patients.Radiology. 2000;216 :773-80.
http://radiology.rsna.org/content/216/3/773.full.pdf+html*パナルジンが原因の間質性肺炎の症例報告論文
Oon PC, et al.
Diffuse alveolar damage associated with ticlopidine use: a case report.J Formos Med Assoc. 2003;102 :262-5.Nakamura R, et al.
Interstitial pneumonia induced by ticlopidine.Circ J. 2002;66 :773-776.
http://www.jstage.jst.go.jp/article/circj/66/8/773/_pdfWatanebe M, et al.
Multiple pulmonary nodules due to ticlopidine-induced pneumonitis Nihon Kokyuki Gakkai Zasshi. 1999;37 :841-5Alonso-Martinez JL, et al.
Bronchiolitis obliterans-organizing pneumonia caused by ticlopidine.Ann Intern Med. 1998;129 :71-2
http://www.annals.org/content/129/1/71.3.full.pdf+html

エキスパートはこう考える第3回 回答

投稿日: 作成者:


＜iphone用動画＞

<key word>

急性好酸球性肺炎、acute eosinophilic pneumonia, eosinophilic lung diseases、カーリーライン、Kerley line, Kerley B line、広義間質、bronchovascular bundle, septal line, 小葉間隔壁、non cardiogenic edema、薬剤性肺障害

 

＜key画像＞

正常時

発症時

 

<参考文献＞

 

急性好酸球性肺炎文献集

Jeong YJ, Kim KI, Seo IJ, Lee CH, Lee KN, Kim KN, Kim JS, Kwon WJ.

Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview.

Radiographics. 2007 May-Jun;27(3):617-37; discussion 637-9.

http://radiographics.rsna.org/content/27/3/617.full.pdf+html

 

AEP症例報告 Abe K, Yanagi S, Imadsu Y, Sano A, Iiboshi H, Mukae H, Matsukura S.

Acute eosinophilic pneumonia with fine nodular shadows.

Intern Med. 2003 Jan;42(1):88-91.

 

Shiota Y, Kawai T, Matsumoto H, Hiyama J, Tokuda Y, Marukawa M, Ono T, Mashiba H.

Acute eosinophilic pneumonia following cigarette smoking.

Intern Med. 2000 Oct;39(10):830-3.

症例報告の直截リンクは張れませんが、Freeで取れます。画像は決してよいと言えません。

 

画像はpoorだが、臨床的なこと知りたい場合

Philit F, Etienne-Mastroianni B, Parrot A, Guerin C, Robert D, Cordier JF.

Idiopathic acute eosinophilic pneumonia: a study of 22 patients.

Am J Respir Crit Care Med. 2002 Nov 1;166(9):1235-9.

http://ajrccm.atsjournals.org/cgi/reprint/166/9/1235

 

参考として 薬剤性肺炎の論文

Rossi SE, Erasmus JJ, McAdams HP, Sporn TA, Goodman PC.

Pulmonary drug toxicity: radiologic and pathologic manifestations.

Radiographics. 2000 Sep-Oct;20(5):1245-59. Review.

http://radiographics.rsna.org/content/20/5/1245.full.pdf+html

 

エキスパートはこう考える第4回 回答

投稿日: 作成者:

iphone movie

key words

夏型過敏性肺臓炎、過敏性肺臓炎、hypersensitivity pneumonitis, summer-type hypersensitivity pneumonitis, びまん性スリガラス陰影、小葉中心性、粒状陰影、広範囲、スリガラス陰影、吸引抗原、ニューモシスチス肺炎、縦隔気腫

文献

過敏性肺臓炎
Silva CI, Churg A, Muller NL.
Hypersensitivity pneumonitis: spectrum of high-resolution CT and pathologic findings.
AJR Am J Roentgenol. 2007 ;188:334-44.
http://www.ajronline.org/cgi/reprint/188/2/334

Hansell DM, Wells AU, Padley SP, Muller NL.
Hypersensitivity pneumonitis: correlation of individual CT patterns with functional abnormalities.
Radiology. 1996; 199:123-128.
http://radiology.rsna.org/content/199/1/123.long

Glazer CS, Rose CS, Lynch DA.
Clinical and radiologic manifestations of hypersensitivity pneumonitis.
J Thorac Imaging. 2002 ;17:261-272.

Patel RA, Sellami D, Gotway MB, et al.
Hypersensitivity pneumonitis: patterns on high-resolution CT.
J Comput Assist Tomogr. 2000 ;24:965-970.

Lynch DA, Newell JD, Logan PM, et al.
Can CT distinguish hypersensitivity pneumonitis from idiopathic pulmonary fibrosis?
AJR Am J Roentgenol. 1995 ;165):807-811.
http://www.ajronline.org/cgi/reprint/165/4/807

Lynch DA, Rose CS, Way D, King TE Jr.
Hypersensitivity pneumonitis: sensitivity of high-resolution CT in a population-based study.
AJR Am J Roentgenol. 1992 ;159:469-472.
http://www.ajronline.org/cgi/reprint/159/3/469

Akira M, Kita N, Higashihara T, et al.
Summer-type hypersensitivity pneumonitis: comparison of high-resolution CT and plain radiographic findings.
AJR Am J Roentgenol. 1992 ;158:1223-8.
http://www.ajronline.org/cgi/reprint/158/6/1223

Silver SF, Muller NL, Miller RR, et al.
Hypersensitivity pneumonitis: evaluation with CT. Radiology 1989; 173:441-445
http://radiology.rsna.org/content/173/2/441.long

慢性過敏性肺臓炎
Silva CI, Muller NL, Lynch DA, et al.
Chronic hypersensitivity pneumonitis: differentiation from idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia by using thin-section CT.
Radiology. 2008 ;246:288-297.
http://radiology.rsna.org/content/246/1/288.full.pdf+html

Sahin H, Brown KK, Curran-Everett D, et al.
Chronic hypersensitivity pneumonitis: CT features comparison with pathologic evidence of fibrosis and survival.
Radiology. 2007 ;244:591-598.
http://radiology.rsna.org/content/244/2/591.full.pdf+html

Adler BD,Padley SP,Muller NL,et al.
Chronic hypersensitivity pneumonitis: high-resolution CT and radiographic features in 16 patients.
Radiology. 1992 ;185:91-95.
http://radiology.rsna.org/content/185/1/91.long

Buschman DL,Gamsu G,Waldron JA Jr,et al.
Chronic hypersensitivity pneumonitis: use of CT in diagnosis.
AJR Am J Roentgenol. 1992 ;159:957-960.
http://www.ajronline.org/cgi/reprint/159/5/957

2次小葉についての論文
Webb WR.
Thin-section CT of the secondary pulmonary lobule: anatomy and the image–the 2004 Fleischner lecture.
Radiology. 2006 ;239:322-38. Epub 2006 Mar 16.
http://radiology.rsna.org/content/239/2/322.full.pdf+html

key画像

エキスパートはこう考える第11回　回答

投稿日: 作成者:

iphone movie

key words: 急性肺障害、薬剤性肺障害、成人呼吸窮迫症候群、ARDS, 牽引性気管支拡張、容量減少、volume loss、広範囲スリガラス陰影、グリフォサート、ラウンドアップ、除草剤

文献：ラウンドアップによる肺障害 Pushnoy LA, Avnon LS, Carel RS. Herbicide (Roundup) pneumonitis Chest. 1998 Dec;114(6):1769-71. http://chestjournal.chestpubs.org/content/114/6/1769.long

＜key画像＞

初回胸部単純写真

 第3病日胸部単純写真

第3病日胸部単純写真右下肺野拡大

第４病日単純写真

第４病日単純写真 focus

第12病日胸部単純

第12病日胸部単純右下肺野拡大

2 回目CT と同日の胸部単純写真

第20病日の胸部ＣＴ１

第20病日の胸部ＣＴ２

第26病日の胸部ＣＴ１

第26病日の胸部ＣＴ１

エキスパートはこう考える第10回　回答

投稿日: 作成者:

 iphone movie

<key words>chronic eosinophilic pneumonia, reversed halo sign､Loeffler’s syndrome, 慢性好酸球性肺炎、レフレル症候群、BOOP,COP

<参考文献＞

Chronic eosinophilic pneumonia
Jeong YJ, Kim KI, Seo IJ, Lee CH, Lee KN, Kim KN, Kim JS, Kwon WJ.
Eosinophilic lung diseases: a clinical, radiologic, and pathologic overview.
Radiographics. 2007 May-Jun;27(3):617-37; discussion 637-9. Review.
http://radiographics.rsna.org/content/27/3/617.full.pdf+html

Kim SJ, Lee KS, Ryu YH, Yoon YC, Choe KO, Kim TS, Sung KJ.
Reversed halo sign on high-resolution CT of cryptogenic organizing pneumonia: diagnostic implications.
AJR Am J Roentgenol. 2003 May;180(5):1251-4.
http://www.ajronline.org/cgi/reprint/180/5/1251

Arakawa H, Kurihara Y, Niimi H, Nakajima Y, Johkoh T, Nakamura H.
Bronchiolitis obliterans with organizing pneumonia versus chronic eosinophilic pneumonia: high-resolution CT findings in 81 patients.
AJR Am J Roentgenol. 2001 Apr;176(4):1053-8.
http://www.ajronline.org/cgi/reprint/176/4/1053

Johkoh T, Muller NL, Akira M, et al.
Eosinophilic lung diseases: diagnostic accuracy of thin-section CT in 111 patients.
Radiology. 2000 Sep;216(3):773-80
http://radiology.rsna.org/content/216/3/773.full.pdf+html

Kim Y, Lee KS, Choi DC, Primack SL, Im JG.
The spectrum of eosinophilic lung disease: radiologic findings.
J Comput Assist Tomogr. 1997 Nov-Dec;21(6):920-30.

Ebara H, Ikezoe J, Johkoh T, Kohno N, Takeuchi N, Kozuka T, Ishida O.
Chronic eosinophilic pneumonia: evolution of chest radiograms and CT features.
J Comput Assist Tomogr. 1994 Sep-Oct;18(5):737-44.

Yoshida K, Shijubo N, Koba H, Mori Y, Satoh M, Morikawa T, Abe S.
Chronic eosinophilic pneumonia progressing to lung fibrosis.
Eur Respir J. 1994 Aug;7(8):1541-4.
http://erj.ersjournals.com/content/7/8/1541.long

Hayakawa H, Sato A, Toyoshima M, Imokawa S, Taniguchi M
A clinical study of idiopathic eosinophilic pneumonia.
Chest. 1994 May;105(5):1462-6.

Mayo JR, Muller NL, Road J, Sisler J, Lillington G.
Chronic eosinophilic pneumonia: CT findings in six cases.
AJR Am J Roentgenol. 1989 Oct;153(4):727-30.
http://www.ajronline.org/cgi/reprint/153/4/727

Reversed halo sign
Tzilas V, Bastas A, Provata A, Koti A, Tzouda V, Tsoukalas G.
The “reversed halo” sign in pneumonococcal pneumonia: a review with a case report.
Eur Rev Med Pharmacol Sci. 2010 May;14(5):481-6. Review.

Marchiori E, Zanetti G, Hochhegger B, Carvalho JF.
Sarcoid cluster sign and the reversed halo sign: Extending the spectrum of radiographic manifestations in sarcoidosis.
Eur J Radiol. 2010 May 18. [Epub ahead of print] No abstract available.

Marchiori E, Grando RD, Simoes Dos Santos CE, Maffazzioli Santos Balzan L, Zanetti G, Mano CM, Gutierrez RS.
Pulmonary tuberculosis associated with the reversed halo sign on high-resolution CT.
Br J Radiol. 2010 Mar;83(987):e58-60.

Benamore RE, Weisbrod GL, Hwang DM, Bailey DJ, Pierre AF, Lazar NM, Maimon N.
Reversed halo sign in lymphomatoid granulomatosis.
Br J Radiol. 2007 Aug;80(956):e162-6.
http://bjr.birjournals.org/cgi/reprint/80/956/e162

Arai T, Inoue Y, Ando S, Inoue K, Tsuyuguchi K, Suzuki K, Hayashi S, Kitaichi M, Akira M, Sakatani M.
[A case of cryptogenic organizing pneumonia showing reversed halo sign on computed tomography of the chest]
Nihon Kokyuki Gakkai Zasshi. 2007 Aug;45(8):621-6. Japanese.

Ueda S, Inoue R, Tanaka K, Mizumori Y, Kawamura T, Nakahara Y, Mochizuki Y, Kobashi Y.
[A case of nonspecific interstitial pneumonia with reversed halo sign on chest HRCT]
Nihon Kokyuki Gakkai Zasshi. 2007 Mar;45(3):248-52. Japanese.

Gasparetto EL, Escuissato DL, Davaus T, de Cerqueira EM, Souza AS Jr, Marchiori E, Muller NL.
Reversed halo sign in pulmonary paracoccidioidomycosis.
AJR Am J Roentgenol. 2005 Jun;184(6):1932-4.
http://www.ajronline.org/cgi/reprint/184/6/1932

Kim SJ, Lee KS, Ryu YH, Yoon YC, Choe KO, Kim TS, Sung KJ.
Reversed halo sign on high-resolution CT of cryptogenic organizing pneumonia: diagnostic implications.
AJR Am J Roentgenol. 2003 May;180(5):1251-4.
http://www.ajronline.org/cgi/reprint/180/5/1251

<キー画像>