Hypersensitivity pneumonitis

Case contributed by Radswiki

Presentation

A bird-fancier presents with breathlessness

Patient Data

Age: 45 years
Gender: Male
X-ray
CT

Multiple soft centrilobular nodules throughout the lungs. No evidence of fibrosis. No overt mediastinal nodal enlargement on these limited axial slices on lung windows only.

Typical appearance of hypersensitivity pneumonitis, classical for subacute disease.

Case Discussion

Patient who is a bird fancier presents with shortness of breath, with CT evidence of hypersensitivity pneumonitis, most likely subacute. It is thought to represent a chronic inflammatory response to avian antigens (usually inhaled proteins in the dust of bird feathers and droppings).

Imaging appearances tend to resolve when the initiating antigen is removed.

This case was donated to Radiopaedia.org by Radswiki.net

PlayAdd to Share

Case information

rID: 11512
Published: 20th Oct 2010
Last edited: 13th Aug 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.