Migrating ground glass opacities on computed tomography due to gravitation in a patient with pulmonary alveolar proteinosis

  • Eiki Ichihara Okayama University Hospital, Japan.
  • Nagio Takigawa | ntakigaw@gmail.com Okayama University Hospital, Japan.
  • Katsuya Kato Okayama University Hospital, Japan.
  • Yasushi Tanimoto Okayama University Hospital, Japan.
  • Ichiroh Yamadori Okayama Medical Center, Japan.
  • Katsuyuki Kiura Okayama University Hospital, Japan.
  • Mitsune Tanimoto Okayama University Hospital, .

Abstract

An 80-year-old man presented with heterogeneous ground glass opacity, with interlobular septal thickening in the left lower lobe. The histology of a surgical lung biopsy showed alveolar proteinosis. Computed tomography revealed that the ground glass opacity and interlobular septal thickening observed dorsally in the supine position migrated to the ventral side in the prone position. To the best of our knowledge, this is the first report of a posture-dependent migrating shadow in a patient with pulmonary alveolar proteinosis.

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Author Biographies

Eiki Ichihara, Okayama University Hospital
Department of Respiratory Medicine
Nagio Takigawa, Okayama University Hospital
Department of  Respiratory Medicine
Katsuya Kato, Okayama University Hospital
Department of Radiology
Yasushi Tanimoto, Okayama University Hospital
Department of Respiratory Medicine
Ichiroh Yamadori, Okayama Medical Center
Laboratory Investigation Section
Katsuyuki Kiura, Okayama University Hospital
Department of Respiratory Medicine
Mitsune Tanimoto, Okayama University Hospital
Department of Respiratory Medicine
Published
2011-04-11
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Section
Case Reports
Keywords:
pulmonary alveolar proteinosis, gravitation effect, interlobular septal thickening
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How to Cite
Ichihara, E., Takigawa, N., Kato, K., Tanimoto, Y., Yamadori, I., Kiura, K., & Tanimoto, M. (2011). Migrating ground glass opacities on computed tomography due to gravitation in a patient with pulmonary alveolar proteinosis. Chest Disease Reports, 1(1), e2. https://doi.org/10.4081/cdr.2011.e2