Predominant Pattern & or Distribution

Ground-glass opacities; mostly central distribution


Additional Findings


As before, with ground glass opacities there is a long list of causes. Ask yourself acute vs subacute vs chronic? Overall can split etiologies into water, pus/cells, blood, protein. Specific etiologies include; ACUTE: edema, infections (PJP, viruses, opportunistic infections), hemorrhage, ARDS, HP, aspiration. CHRONIC: edema, recurrent hemorrhage, HP, RBILD, sarcoid, NSIP, DIP, aspiration, organizing pneumonia, PAP.  

DDX

 

Etiology

Diffuse alveolar hemorrhage (from cocaine inhalation). Additional findings: peripheral sparing.