F 1+7/12 yrs CC: cough and mild cyanosis Diffuse pulmonary opacity.

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Presentation transcript:

F 1+7/12 yrs CC: cough and mild cyanosis Diffuse pulmonary opacity

Diffuse ground-glass opacity, saving subpleural area

Diffuse interstitial widening

Diffuse interstitial widening due to cellular infiltration

Diffuse interstitial widening, even pattern, due to cellular infiltration and fibrosis

Diffuse interstitial widening, even pattern, due to cellular infiltration and fibrosis Also note intraalveolar macrophages and cholesterol clefts

Diffuse interstitial widening, even pattern, due to cellular infiltration and fibrosis Also note intraalveolar macrophages and and hyperplastic pneumocytes

Inflammatory cell mainly composed of lymphocytes and plasma cells

Inflammatory cells mainly composed of lymphocytes and plasma cells

Interstitial collagen lay down Cellular interstitial pneumonia - interstitial chronic inflammatory cell infiltration - type II pneumocytes hyperplasia - interstitial collagen lay down - intralaveolar macrophages Findings are suggestive of chronic pneumonitis of infancy R/O 1. collagen vascular disease 2. viral infection