2 W.T T.S.
70 2 1 238
WBC7400/µl, RBC 386 10 4 /µl, Hb 11.6 g/dl, Ht 36.2%, PLT 25 10 4 /µl AST 19 IU/l, ALT 11 IU/l, LDH 182 IU/l, BUN 15 mg/dl, Cr 0.54 mg/dl, CRP6.83 mg/dl, RF 353.9IU/ml, CCP 28.0IU/ml PR3-ANCA 1.0EU, MPO-ANCA 1.0EU β-d
CT
CT 2
2~5cm S1S6 2
l l l l
GPA
PCR + GPC1+ normal flora 1+ GPC/GPR 1+ normal flora 1+ +
RA 1 RA 10mg BAL L-AMB 2 BAL
CT PSL 1
RA A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:306-309
RACT 98% GGO 91% 75 60 49% 37% 13% Rheumatoid Arthritis-related Lung Diseases: CT findings, Nobuyuki Tanaka, MD et al. Radiology 2004; 232: 81-91
RA UIP(41%) NSIP(30%) OP(8%) (17%) DAD(1.5%) LIP(1.5%) Radiology 2004; 232: 81-91
RA
RA 1 RF ormm 7cm A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:306-309
RA and/or A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:306-309
Wegener RA
or feeding vessel sign 5%
0.5 8cm Air bronchogram CT angiogram sign Unusual Primary Lung Tumors: A Radiologic-Pathologic Overview1, Ana Giménez, MD et al, May 2002 RadioGraphics, 22, 601-619.
S1 Tuberculosis from Head to Toe1:Mukesh G. Harisinghani, MD et al, March 2000 RadioGraphics, 20, 449-470.
GGA CT halo sign air-crescent sign Best Cases from the AFIP: Hai H. Kenney, DO et al, November 2002 RadioGraphics, 22, 1507-1510.
6mm~2cm Pulmonary Cryptococcosis: CT Findings in Immunocompetent Patients1: Rebecca M. Lindell, MD et al, July 2005 Radiology, 236, 326-331.
or mass like shadow (10 ) air space consolidation low attenuation area LAA
or 1cm Pulmonary Sarcoidosis: Typical and Atypical Manifestations at High-Resolution CT with Pathologic Correlation1: Eva Criado, MD et al, October 2010 RadioGraphics, 30, 1567-1586.
Granulomatosis with polyangitis GPA or 5mm 10cm CT halo sign feeding vessel sign Common and Uncommon Manifestations of Wegener Granulomatosis at Chest CT: Radiologic-Pathologic Correlation: Felipe Martinez, MD et al, January 2012 RadioGraphics, 32, 51-69.
or0.5 3cm Feeding vessel sign(67 100%) 18% or 58% 15% 5% Pulmonary Infections in Immunocompromised Hosts: The Importance of Correlating the Conventional Radiologic Appearance with the Clinical Setting1 Yu Whan Oh, MD et al, December 2000 Radiology, 217, 647-656.
RA RA
Rheumatoid Arthritis-related Lung Diseases: CT findings, Nobuyuki Tanaka, MD et al. Radiology 2004; 232: 81-91 A Rare Cause of Multiple Cavitary Nodules, Rubal Patel MD et al. CHEST 2009; 136:306-309 Cystic and Cavitary Lung Diseases: Focal and Diffuse, Jay H. Ryu, MD et al. Mayo Clinic Proceedings, 2003; 78:744-752 Pulmonary Angiitis and Granulomatosis: Radiologic-Pathologic Correlation: Aletta Ann Frazier, MD et al. Radiographics, 1998; 18-3:687-710 The Radiologic Differential Diagnosis of Diffuse Lung Diseases Characterized by Multiple Cysts or Cavities, Kyung-Hee Lee et al.journal of Computer Assisted Tomography, 2002; 26(1):5-12 Pulmonary cryptococcus: CT findings in immunoconpetent patients, Rebecca M. Lindell, MDat al. Radioly 2005, 236:326-331,, 2006 HRCT, /W. Richard Webb et.al, 2010