iip临床-影像-病理诊断

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1、IIP临床-影像-病理诊断IIP的诊断分型IPFIdiopathicpulmonaryfibrosis.(A)Idiopathicpulmonaryfibrosis.(BandC)ProgressionofIPFina65-yr-oldman.(AandB)(A)(B)(C)Usualinterstitialpneumoniapattern.NSIPNonspecificinterstitialpneumoniaFigure7.Nonspecificinterstitialpneumonia,cellularpattern.(A)Theinterst

2、itiumisinfiltratedbyamoderatechronicinflammatoryinfiltrate.Fibrosisisabsent.(B)Theinfiltrateconsistsoflymphocytesandplasmacells.Figure8.Nonspecificinterstitialpneumonia,fibrosingpattern.(A)Thealveolarwallsshowdiffusethickeningbyfibrosisandmildinterstitialinflammation.Nofibrobla

3、sticfociarepresent.(B)Nonspecificinterstitialpneumonia,fibrosingpattern.Thealveolarwallsarethickenedbydensecollagenandafewlymphocytesandplasmacells.COPCryptogenicorganizingpneumonia.(A)Chestradiographshowsmultifocalconsolidation(arrows).Cryptogenicorganizingpneumonia.(B)HRCTima

4、gesthroughthelowerlungsinthesamepatientshowsubpleuralconsolidation,groundglassabnormality,andreticularpattern.(C)HRCTindifferentpatientshowsafocalpatchofsubpleuralconsolidationwithairbronchograms.Figure10.Organizingpneumoniapatterninpatientwithcryptogenicorganizingpneumonia.(A)

5、Thereispatchylunginvolvementbylooseplugsofconnectivetissuewithinabronchioleandtheadjacentalveolarductsandalveolarspaces.Thearchitectureofthelungispreservedandtheconnectivetissueisallthesameage.(B)Theorganizingpneumoniaconsistsofpolypoidplugsoflooseorganizingconnectivetissuewith

6、inanalveolarductandtheadjacentalveolarspaces.AIPFigure11.Acuteinterstitialpneumonia.HRCTshowsageographicdistributionofgroundglassabnormalitywithconsolidationinthemoredependentlung.Figure12.Diffusealveolardamageinapatientwithacuteinterstitialpneumonia.(A)Thelungshowsdiffusealveo

7、larwallthickeningbyproliferatingconnectivetissueandinflammation.(B)Thelungshowsdiffusealveolarwallthickeningbyproliferatingconnectivetissue,TypeIIpneumocytes,andhyalinemembranes.RB-ILDFigure13.Respiratorybronchiolitis-associatedinterstitiallungdisease.HRCTshowscentrilobularnodu

8、lesandpatchygroundglassabnormality.Figure14.Respirator