Faculty, Staff and Student Publications
Publication Date
12-1-2022
Journal
Journal of Family Medicine and Primary Care
Abstract
The 'crazy-paving' pattern on high resolution computed tomography (HRCT) is a distinct imaging appearance that is still considered to be a radiological hallmark of pulmonary alveolar proteinosis. However, since its first description about three decades ago, more than 40 different clinical entities presenting as 'crazy-paving' patterns have been documented. This rather remarkable but uncommon imaging appearance is now considered to be a non-specific manifestation. A 62-year-old male referred for evaluation of productive cough, breathlessness and fever presented with 'crazy-paving' pattern on HRCT. Endobronchial biopsy done on presentation was consistent with the diagnosis of squamous cell carcinoma. This report highlights this atypical presentation of squamous cell carcinoma of the lung and adds to the increasing list of clinical entities presenting as a 'crazy-paving' pattern. To our knowledge, squamous cell carcinoma presenting as a 'crazy-paving' pattern on HRCT is yet to be documented.
Keywords
: ‘Crazy-paving’, pattern, high resolution computed tomography, lung cancer, squamous cell carcinoma
DOI
10.4103/jfmpc.jfmpc_973_22
PMID
36994044
PMCID
PMC10041017
PubMedCentral® Posted Date
January 2023
PubMedCentral® Full Text Version
Post-print
Published Open-Access
yes
Included in
Critical Care Commons, Family Medicine Commons, Medical Biochemistry Commons, Primary Care Commons