Table 1.
Main tomographic and histopathological findings in hypersensitivity pneumonitis.
Acute | Insidious manifestations | ||
---|---|---|---|
Subacute | Chronic | ||
Tomographic findings | Ground-glass opacities and consolidations | Centrilobular ground-glass micronodules; sparse/diffuse ground-glass opacities; air trapping, usually lobular; cysts | Reticular opacities, in some cases peribronchovascular; honeycombing; ground-glass opacities; centrilobular micronodules and air trapping; predominance in the middle lung fields |
Histopathological findings | Diffuse alveolar damage; inflammation; signs of vasculitis | Cellular bronchiolitis and chronic peribronchovascular lymphocytic and plasma cell inflammatory infiltrates; non-caseous granulomas, giant cells with cholesterol clefts; Schaumann bodies and foamy macrophages | Fibrosis with a pattern that resembles usual interstitial pneumonia or nonspecific interstitial pneumonia and a peribronchovascular distribution; Schaumann bodies, giant cells, and granulomas; architectural distortion |