Post 03 - Melted Sugar or Cotton Candy or Tinted Signs of Partial Regression

A follow-up of a patient of sarcoidosis

Bhavin Jankharia

Index and Table of Contents - 116 Cases, 30 Snippets, 16 Lectures, Multiple Cases of the Day, Series - ILD Patterns

Index and Table of Contents
Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…

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Post 02 - Progressive Pulmonary Fibrosis (PPF) and Biologic Behavior
A 10 years story of progressive pulmonary fibrosis in a patient with chronic fibrotic hypersensitivity pneumonitis

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41-years old was diagnosed to have Stage III sarcoidosis last year (peribronchovascular and fissures nodules - panels C and D). He was put on treatment and the scan done recently shows significant improvement (panels A and B).

It is the pattern of improvement that is interesting. While the extent of disease is more or less unchanged, it is the density of the lesions that has regressed. The dense discrete nodules have given way to subtle ground glass with reticular opacities resembling cotton candy or melted sugar or a faint tint.

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