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Rheumatoid arthritis-associated organizing pneumonia

Imaging findings

Serial chest CT scans in a patient with rheumatoid arthritis show evolution over two months from a typical peripheral, subpleural, and peribronchial consolidative organizing pneumonia pattern to diffuse, bilateral ground-glass opacities, reticulation, and traction bronchiectasis.

Key takeaways

Organizing pneumonia is a common early manifestation of rheumatoid arthritis-associated lung disease. It can rapidly progress and transition into a chronic, fibrotic interstitial pneumonia such as non-specific interstitial pneumonia (NSIP).

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