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Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis , or a neoplastic process . [ 1 ]
The diagnosis is made by the clinical picture and the chest X-ray, which demonstrates decreased lung volumes (bell-shaped chest), absence of the thymus (after about six hours), a small (0.5–1 mm), discrete, uniform infiltrate (sometimes described as a "ground glass" appearance or "diffuse airspace and interstitial opacities") that involves ...
Chest X-rays often show non-specific findings or come back normal. [19] [20] Pulmonary function tests usually reveal a decrease in diffusion capacity and a restrictive pattern. [7] Thoracic high-resolution computed tomography (HRCT) often shows signs of DIP, [17] however, HRCT has only been reported on in one study. HRCT shows a ground-glass ...
Chest radiography is usually the first test to detect interstitial lung diseases, but the chest radiograph can be normal in up to 10% of patients, especially early in the disease process. [17] [18] High-resolution CT of the chest is the preferred modality and differs from routine CT of the chest. Conventional (regular) CT chest examines 7–10 ...
There may be superimposed CT features such as mild ground-glass opacity, reticular pattern and pulmonary ossification. Probable UIP pattern: [4] Predominantly subpleural and basal; Often heterogenous distribution; Reticular pattern with peripheral traction bronchiectasis or bronchiolectasis; There may be mild ground-glass opacity; Indeterminate ...
On high resolution computed tomography, airspace consolidation with air bronchograms is present in more than 90% of patients, often with a lower zone predominance. A subpleural or peribronchiolar distribution is noted in up to 50% of patients. Ground glass appearance or hazy opacities associated with the consolidation are detected in most patients.
Acute presentation may reveal poorly defined a micro-nodular interstitial pattern and ground-glass opacities in the lower and mid lung zones. In addition to this, subacute presentations may show reticular nodular opacities in mid-to-lower lung zones. [1] Chronic forms may show fibrotic changes and appear like Idiopathic pulmonary fibrosis. [3]
Most cases of SRIF are not detectable clinically (clinically occult), and have no visible abnormalities on chest CT. [5] In clinically occult cases, a range of findings have been described on CT, including no abnormalities, low attenuation areas, clustered cysts with visible walls, and ground-glass opacities with or without reticulation. [8]