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"Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview.

Publication ,  Journal Article
Rossi, SE; Erasmus, JJ; Volpacchio, M; Franquet, T; Castiglioni, T; McAdams, HP
Published in: Radiographics
2003

The "crazy-paving" pattern is a common finding at thin-section computed tomography (CT) of the lungs. It consists of scattered or diffuse ground-glass attenuation with superimposed interlobular septal thickening and intralobular lines. This finding has a variety of causes, including infectious, neoplastic, idiopathic, inhalational, and sanguineous disorders. Specific disorders that can cause the crazy-paving pattern include Pneumocystis carinii pneumonia, mucinous bronchioloalveolar carcinoma, pulmonary alveolar proteinosis, sarcoidosis, nonspecific interstitial pneumonia, organizing pneumonia, exogenous lipoid pneumonia, adult respiratory distress syndrome, and pulmonary hemorrhage syndromes. Knowledge of the many causes of this pattern can be useful in preventing diagnostic errors. In addition, although the causes of this pattern are frequently indistinguishable at radiologic evaluation, differences in the location of the characteristic attenuation in the lungs, as well as the presence of additional radiologic findings, the patient's history, and the clinical presentation, can often be useful in suggesting the appropriate diagnosis.

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Published In

Radiographics

DOI

EISSN

1527-1323

Publication Date

2003

Volume

23

Issue

6

Start / End Page

1509 / 1519

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Pneumonia, Pneumocystis
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Lung Diseases
  • Lung
  • Humans
  • Female
 

Citation

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Rossi, S. E., Erasmus, J. J., Volpacchio, M., Franquet, T., Castiglioni, T., & McAdams, H. P. (2003). "Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview. Radiographics, 23(6), 1509–1519. https://doi.org/10.1148/rg.236035101
Rossi, Santiago E., Jeremy J. Erasmus, Mariano Volpacchio, Tomas Franquet, Teresa Castiglioni, and H Page McAdams. “"Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview.Radiographics 23, no. 6 (2003): 1509–19. https://doi.org/10.1148/rg.236035101.
Rossi SE, Erasmus JJ, Volpacchio M, Franquet T, Castiglioni T, McAdams HP. "Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview. Radiographics. 2003;23(6):1509–19.
Rossi, Santiago E., et al. “"Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview.Radiographics, vol. 23, no. 6, 2003, pp. 1509–19. Pubmed, doi:10.1148/rg.236035101.
Rossi SE, Erasmus JJ, Volpacchio M, Franquet T, Castiglioni T, McAdams HP. "Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview. Radiographics. 2003;23(6):1509–1519.

Published In

Radiographics

DOI

EISSN

1527-1323

Publication Date

2003

Volume

23

Issue

6

Start / End Page

1509 / 1519

Location

United States

Related Subject Headings

  • Tomography, X-Ray Computed
  • Pneumonia, Pneumocystis
  • Nuclear Medicine & Medical Imaging
  • Middle Aged
  • Male
  • Lung Neoplasms
  • Lung Diseases
  • Lung
  • Humans
  • Female