Immune

Definition

An immune disorder is 

characterized by …..

caused by ..etiology or predisposing factors

resulting in a pathological feature (structural change or functional change)  or clinical feauture

Sometimes complicated by ….

Diagnosis is suspected clinically by … and confirmed by ….

Imaging includes the use of

Treatment options depend on …. but includes …..

Etymology if available

CNS

CVS

 

Takayasu’s Arterirtis
The series of images are from the angiogram of a 14 year old female who presented with seizures and an elevated blood pressure. Images a and b show multiple stenoses within the carotids best seen at the level of the bifurcation into external and internal arteries. In addition in b, the aortic arch shows non critical narrowing just after the origin of the left common carotid vessel. Note that the right subclavian artery is not seen and presumably is accluded at its origin. The abdominal angiogram shows a significant narrowing of the left renal artery with post stenotic dilitation, and stenotic disease in the infrarenal abdominal aorta. The multicentric nature of the disease in a young female is athognomonic of Takayasu’s arteritis. 35155c Courtesy of Laura Feldman MD. code CVS artery aorta arteritis inflammation Takayasu’s carotid thorax arch renal abdomen pulseless
Polyarteritis Nodosa
Occlusive Vascular Disease: Causes of Vascular Occlusion – Polyarteritis Nodosa. This is a medium power photomicrograph from a bowel in a patient with Polyarteritis Nodosa. Bowel is commonly affected in this disorder. The medium sized artery seen here has undergone a deeply eosinophilic (fibrinoid) change. Notice that there is a surrounding inflammatory infiltrate of WBCs and formation of aneurysmal dilatation. This can result in massive hemorrhage if the aneurysm ruptures. colon large bowel artery small bowel fx aneurysm inflammation dx polyarteritis nodosa histopathology Courtesy Barbara Banner MD 12889

RS

Inflammation  – Acute Drug Reaction

Acute Pneumonitis Secondary to Chemotherapy – Drug Reaction
47095 lung chest fx lobar infiltrates fx air bronchogram dx chemotherapy related pneumonitis acute inflammation CTscan Davidoff MD
Bronchovascular Inflammation
47170c01.800 bronchocentric inflammation lung bronchovascular bundle chest inflammation peribronchial halo air trapping mosaic perfusion ground glass changes alveolar change air bronchogram acute bronchovascular inflammation ddx allergic collagen vascular disease infection CTscan
Scleroderma
This coronally reformatted CT of the posterior aspect of the chest shows interstitial lung disease within the lower lobes in this patient with scleroderma. The upper lobes were relatively spared. Courtesy Ashley Davidoff MD. 30476 code lung pulmonary interstitium interstial disease thickening lower lobes chronic inflammation fibrosis scleroderma collagen vascular disease imaging radiology CTscan
Allergic Bronchopulmonary Aspergillosis
47114c01 bronchi lungs fx dilated enlarged impacted with sft tissue finger in glove dx allergic bronchopulomonary aspergillosis ABPA aspergillus dx infection inflammation CTscan Davidoff MD
Active Tuberculosis
49812c01 50 yr F Korean fevers weight loss night sweats cough chest lung apex pleura fx calcified granulomas parenchyma pleural granulomas calcification cavitating nodules dx active tuberculosis active TB acute infection chronic infection infectious isolation Davidoff MD 49812c02