肺における散布性粒状病変の分布パターン : 気道散布性病変と血行散布性病変のX線病理学的研究

The distribution pattern of disseminated small lung nodules was radiologically stud- ied with special reference to the relationship between lesions and the bronchial branching system using inflated and fixed lungs of 6 cases Obtained from autopsy. The bronchogenous spread lesions, which were seen in endobronchial tuberculosis and bronchopneumonia, were located in the centriacinar portion of the secondary lobule. Their distribution patterns were regular and corresponded to the bronchial branching pattern. On the other hand, the hematogenous spread lesions, which were seen in miliary tuberculosis and pulmonary metastasis of carcinoma, had no relation to airway structures. They were randomly distributed regardless of bronchial branching. Recognition of these different distribution patterns is important for evaluating diffuse lung diseases by computed tomography

Roentgehological Evaluation of the Loss of Pulmonary Vascular Defnitions for the Early Detection of Intefstitial pulmonary Edema and Other Interstitial Pulmonary Diseases

Accumulation of fluid was done in the peri-vascular interstitium of dogs by abundant and rapid saline infusion, and chest roentgenograms and tomograms were taken and the lung was examined histologically. Post-infusion roentgenograms characteristically demonstrated a blurred outline of vascular shadows without observable abnormal densities instead of the sharp outline which appeared in the pre-infusion roentgenograms. This finding may contribute to the early detection of interstitial pulmonary edema because it preceded the Kerley lines and abnormal densities in the lung field. This peri-vascular interstitial condition may be roentgenologically substituted for other kinds of lesions. Thus the loss of vascular definition may lead to the early diagnosis of certain interstitial pulmonary diseases