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British Journal of Radiology (2004) 77, 974-976
© 2004 British Institute of Radiology
doi: 10.1259/bjr/96331922

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Pulmonary alveolar microlithiasis presenting with crazy-paving pattern on high resolution CT

E L Gasparetto, MD 1 P Tazoniero, MD 1 D L Escuissato, MD 1 E Marchiori, MD 1 R L Frare e Silva, MD 2 and D Sakamoto, MD 3

Departments of 1 Diagnostic Radiology, 2 Internal Medicine and 3 Pathology, University of Paraná School of Medicine, Curitiba, PR, Brazil



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Figure 1. Chest radiograph shows a diffuse symmetric lung lesion with dense micronodular aspect ("sand storm").

 


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Figure 2. (a) High resolution CT scan reveals diffuse ground-glass attenuation and septal thickening with calcified nodules, defining the "crazy-paving" pattern (window/level 1730/–810 HU). (b) The septal thickening is more clearly visualized with this window/level (770/10 HU). Calcifications of subpleural aspect are also seen.

 





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