242Lu Bird Fancier’s Disease Hypersensitivity Pneumonitis Hypersensitivity Pneumonitis Bird Fancier’s Disease Axial CT – Hypersensitivity Pneumonitis Bird Fancier’s Disease55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields shows diffuse ground glass changes with a combination of mosaic attenuation and normal lung giving the appearance of the head cheese sign.Ashley Davidoff MD TheCommonVein.net 242Lu 13551a Axial CT – Hypersensitivity Pneumonitis Bird Fancier’s Disease55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields shows diffuse ground glass changes with a combination of mosaic attenuation and normal lung giving the appearance of the head cheese sign.Ashley Davidoff MD TheCommonVein.net 242Lu 13551b Coronal CT – Hypersensitivity Pneumonitis Bird Fanciers Disease55-year-old female with shortness of breath. She keeps birds for pets Coronal CT through the mid lung fields shows diffuse ground glass changes with a combination of mosaic attenuation and normal lung giving the appearance of the head cheese sign.Ashley Davidoff MD TheCommonVein.net 242Lu 135552a Sagittal CT – Hypersensitivity Pneumonitis Bird Fancier’s Disease55-year-old female with shortness of breath. She keeps birds for pets Sagittal CT through the mid lung fields shows diffuse ground glass changes with a combination of mosaic attenuation and normal lung giving the appearance of the cheese head sign.Ashley Davidoff MD TheCommonVein.net 242Lu 13552b Inspiration Expiration Mostly Normal Lung Among Ground Glass Changes Axial CT – Inspiration Expiration Hypersensitivity Pneumonitis Bird Fancier’s Disease55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields on inspiration (upper image) shows diffuse ground glass changes with mosaic attenuation Expiration images (below) shows some regions of regions of air trapping (left lower lobe) and some of normalizing (right lower lobe )Ashley Davidoff MD TheCommonVein.net 242Lu 13553 Axial CT – Inspiration Expiration Hypersensitivity Pneumonitis Bird Fancier’s Disease Right Lower Lobe55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields on inspiration (upper image) shows diffuse ground glass changes with low attenuation regions Expiration images (below)shows increase in the density of this region indicating that this region is normal lungAshley Davidoff MD TheCommonVein.net 242Lu 13554 Axial CT – Inspiration Expiration Hypersensitivity Pneumonitis Bird Fancier’s Disease Left Lower Lobe55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields on inspiration (upper image) shows diffuse ground glass changes with low attenuation regions (mosaic attenuation) Expiration images (below) shows persistent regions of mosaic attenuation indicating air trappingAshley Davidoff MD TheCommonVein.net 242Lu 13555 Air Trapping Axial CT – Inspiration Expiration Hypersensitivity Pneumonitis Bird Fancier’s Disease Left Lower Lobe55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields on inspiration (upper image) shows diffuse ground glass changes with low attenuation regions (mosaic attenuation) Expiration images (below) shows persistent regions of mosaic attenuation indicating air trappingAshley Davidoff MD TheCommonVein.net 242Lu 13556 Axial CT – Inspiration Expiration Hypersensitivity Pneumonitis Bird Fancier’s Disease Right Middle Lobe55-year-old female with shortness of breath. She keeps birds for pets Axial CT through the mid lung fields on inspiration (upper image) shows diffuse ground glass changes with low attenuation regions (mosaic attenuation) Expiration images (below) shows persistent regions of mosaic attenuation indicating air trappingAshley Davidoff MD TheCommonVein.net 242Lu 13557