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Chest
Diagnosis
Overview of Chest Imaging
Illustrated Terminology
Constrictive Bronchiolitis
Constrictive Bronchiolitis
Tomás Franquet, MD, PhD
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KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Constrictive bronchiolitis (CB)
Bronchiolitis obliterans syndrome (BOS)
Synonyms
Bronchiolitis obliterans
Obliterative bronchiolitis
Definitions
Specific pattern of pulmonary response to diverse injuries; may be idiopathic
Submucosal and peribronchiolar fibrosis with bronchiolar narrowing or luminal obliteration
Concentric fibrosis of bronchiolar wall
Between bronchiolar epithelium and muscularis mucosa
Bronchiolar narrowing &/or obliteration
Absence of intraluminal granulation tissue polyps
No surrounding parenchymal inflammation
IMAGING
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Histologic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Clinically Relevant Pathologic Features
Pathologic Interpretation Pearls
Selected References
Kligerman SJ et al: Mosaic attenuation: etiology, methods of differentiation, and pitfalls. Radiographics. 35(5):1360-80, 2015
Abbott GF et al: Imaging of small airways disease. J Thorac Imaging. 24(4):285-98, 2009
Chen CZ et al: Small airways obstruction syndrome in clinical practice. Respirology. 14(3):393-8, 2009
Pipavath SJ, Lynch DA, Cool C, Brown KK, Newell JD. Radiologic and pathologic features of bronchiolitis. AJR Am J Roentgenol. 2005 Aug;185(2):354-63.
Couture C et al: Histopathology of bronchiolar disorders. Semin Respir Crit Care Med. 24(5):489-98, 2003
Ryu JH et al: Bronchiolar disorders. Am J Respir Crit Care Med. 168(11):1277-92, 2003
Colby TV: Bronchiolitis, pathologic considerations. M J Clin Pathol 1998;109:101-109.
Müller NL et al: Diseases of the bronchioles: CT and histopathologic findings. Radiology. 196(1):3-12, 1995
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Abbreviations
Constrictive bronchiolitis (CB)
Bronchiolitis obliterans syndrome (BOS)
Synonyms
Bronchiolitis obliterans
Obliterative bronchiolitis
Definitions
Specific pattern of pulmonary response to diverse injuries; may be idiopathic
Submucosal and peribronchiolar fibrosis with bronchiolar narrowing or luminal obliteration
Concentric fibrosis of bronchiolar wall
Between bronchiolar epithelium and muscularis mucosa
Bronchiolar narrowing &/or obliteration
Absence of intraluminal granulation tissue polyps
No surrounding parenchymal inflammation
IMAGING
Radiographic Findings
CT Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
Histologic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Clinically Relevant Pathologic Features
Pathologic Interpretation Pearls
Selected References
Kligerman SJ et al: Mosaic attenuation: etiology, methods of differentiation, and pitfalls. Radiographics. 35(5):1360-80, 2015
Abbott GF et al: Imaging of small airways disease. J Thorac Imaging. 24(4):285-98, 2009
Chen CZ et al: Small airways obstruction syndrome in clinical practice. Respirology. 14(3):393-8, 2009
Pipavath SJ, Lynch DA, Cool C, Brown KK, Newell JD. Radiologic and pathologic features of bronchiolitis. AJR Am J Roentgenol. 2005 Aug;185(2):354-63.
Couture C et al: Histopathology of bronchiolar disorders. Semin Respir Crit Care Med. 24(5):489-98, 2003
Ryu JH et al: Bronchiolar disorders. Am J Respir Crit Care Med. 168(11):1277-92, 2003
Colby TV: Bronchiolitis, pathologic considerations. M J Clin Pathol 1998;109:101-109.
Müller NL et al: Diseases of the bronchioles: CT and histopathologic findings. Radiology. 196(1):3-12, 1995
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