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Atlas of Diffuse Lung Diseases: A Multidisciplinary Approach by Giorgia Dalpiaz, Alessandra Cancellieri

By Giorgia Dalpiaz, Alessandra Cancellieri

This atlas is designed as an easy-to-use reference consultant that identifies and illustrates the foremost styles of diffuse lung ailments saw on high-resolution computed tomography (HRCT) after which files in additional aspect the features and appearances of the person illnesses, grouped at the foundation in their time-honored development. an additional function of the booklet is its interdisciplinary nature: contributions from specialists in quite a few specialties are tightly interwoven all through and lots of pathologic correlations are incorporated. much less skilled readers will locate that this atlas, with its wealth of figures and useful colour coding, steers them in the direction of right interpretation whilst faced via the multiplicity and complexity of those illnesses; people who are already specialists, however, will enjoy the specific assurance of person illnesses, with a view to deepen their figuring out. on the finish of the publication, a graphically beautiful and practice-oriented illustrated word list with tips and tips bargains yet another powerful academic software. Given the medical spectrum of illnesses lined, this atlas will turn out useful for quite a lot of healthcare employees, in particular radiologists, pulmonologists, and pathologists.

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Pneumocystis, viral) • Lymphocytic Interstitial Pneumonia (LIP) • Lymphoma • NSIP, idiopathic cellular Alveolar Filling Alveolar filling by cells or noncellular material is very frequent. An example, illustrated here in the figure below, is pulmonary alveolar proteinosis (PAP). Note the abrupt transition between the area in which alveoli are filled by proteinaceous material and the normal lung (☼). Please also refer to chapter “Alveolar Pattern”. , acute bacterial) • Neoplasms • OP, cryptogenic 46 Atlas of Diffuse Lung Diseases Dalpiaz & Cancellieri Nodules How to Approach the Diseases A necrotic nodule due to a previous varicella infection is an example of a disease presenting with a nodular pattern (Figure below).

Septal pattern can be smooth or nodular in contour depending on the different pathological processes. The septal pattern may be due to the filling of the interstitium by fluid, neoplastic cells, or inflammation. Reticular pattern with preserved architecture, regular linear pattern Reticular pattern may be also “irregular” due to fibrosis, and therefore this subtype is included and explained in the fibrosing pattern. In this case, the architecture is not preserved resulting in a distorted net. The signs of septal pattern are: • Septal thickening • Subpleural interstitial thickening • Peribronchovascular thickening The prevalent distribution of the signs together with the presence of non-parenchymal signs may be helpful for the diagnosis of a specific disease (please see also the tables at the end of this chapter).

Therefore, prophylactically administered antibiotics may be considered for EUS-guided biopsies. • In the clinical suspicion of sarcoidosis, the presence at smear cytology/histology of typical epithelioid granulomas without necrosis, with or without some multinucleated giant cells, can confirm the diagnosis. Tuberculosis: • Several studies have shown a good diagnostic accuracy for the diagnosis of tubercular mediastinal adenopathies by EUS-FNA and EBUS-TBNA. Cytopathological criteria, the search for acid-fast bacilli using Ziehl-Neelsen technique as well as culture techniques and PCR are helpful for the final diagnosis.

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