Radiographic imaging patterns of organising pneumonia
Consolidation |
Subpleural and/or peribronchial |
Mid to lower lung zone predominance |
Can be perilobular |
Opacities may migrate, wax, wane or disappear |
Spontaneous regression of consolidated areas may occur |
Combination of bilateral subpleural consolidation and mid to lower zone predominance observed in majority of patients |
Other patterns |
Focal with single nodule or mass |
Nodular (variable size, can be solitary or multiple) |
Reversed halo sign (ground-glass opacity, surrounded by a crescent or ring of consolidated parenchyma) |
Ground-glass opacities (usually bilateral, patchy, seen in up to 90% of patients with cryptic organising pneumonia) |
Parenchymal bands (often associated with multifocal consolidations) |
Perilobular (arcade-like or polygonal opacities that are poorly defined and border secondary pulmonary lobules) |
Fibrotic |
Reticular opacities with basilar predominance, architectural distortion and superimposed alveolar opacities |
Honeycomb change, traction bronchiectasis |
Rare changes |
Diffuse micronodules (centrilobular or peribronchial) |
Mediastinal lymph node enlargement |
Pleural effusion |