Of pulmonary alveolar proteinosis imaging features of.docVIP

 PAGE \* MERGEFORMAT 16 Of pulmonary alveolar proteinosis imaging features of Author: Sun Hou-Chang Wu Enfu Cao entire LI Ximei Keywords: Pulmonary alveolar proteinosis Pulmonary alveolar proteinosis (Pulmonary alveolar proteinosis, PAP) is a rare lung disease, clinical symptoms of multiple non-characteristic, and the imaging often misdiagnosed, little reported in the literature, the authors report 6 cases of pathologically confirmed cases of PAP, Retrospective analysis of their X-ray and CT, aimed at raising awareness of this disease and differential levels. A clinical data 1.1 General Information Collection of Guiyang Medical College, Wenzhou Medical Imaging Division from June 2004 to June 2007 diagnosed with PAP 6 patients, including 4 males and 2 females; aged 32 to 50 years, mean 41 years of age; course of 2 to 14 months. Clinical symptoms and signs: 5 patients had varying degrees of shortness of breath, cough, of which 4 cases were accompanied by sputum and breathing difficulties in 2 cases with chest pain, two cases associated with cyanosis and clubbed fingers, and 1 case without clinical symptoms, on physical examination found. 5 cases no history of exposure to dust, and 1 for the carpenter a 5-year history of exposure to dust. 1.2 Methods 6 patients were normal photo is lateral chest, and chest CT scan at the same time. CT using Siemens 16-slice CT machine, slice thickness 5mm, spacing 5mm, scanned from the apex to the diaphragmatic level of the chest CT lung window and mediastinal windows were observed. 6 patients were anesthesia fiberobronchoscopically parallel alveolar lavage (BAL). 2 Results 2.1 chest X-ray findings 4 patients showed symmetrical distribution of lung density increased large sheet film, was “Die Yi-like.” 2 patients showed asymmetric flake density increased lung shadow, to the side of the lung disease as the most important. Four cases can be flaky high density sha