Crazy PAving in the Lungs
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Lyrics

🎵 1. Lyrics (Suno Phonetic Version)

Title: “Kray-zee PAY-ving”
(Verse 1)
I am the map of a fractured design,
A pattern of chaos where two signs combine.
They call me “Kray-zee PAY-ving,” it’s a fitting name,
For a lung that is no longer the same.
I’m not simple, not one single hue,
I am a Moh-ZAY-ik, a complex, sick view.
(Chorus)
Oh, they call me Kray-zee PAY-ving,
A lung that is misbehaving.
I am the stone, I am the grout,
A lung that is struggling and crying out.
I’m Jee-Jee-Oh plus SEP-tal lines,
A combination of two signs.
(Verse 2)
My “stones” are the LOB-yoolz, the acinar space,
A Grawnd-Glass Oh-PASS-it-tee (Jee-Jee-Oh), filling the place.
The al-VEE-o-lye are hazy, a soft, misty gray,
Where air and affliction must both share the way.
My “grout” is the line, the in-ter-LOB-yoo-lar band,
The SEP-tal walls thickening, across the land.
(Chorus)
Oh, they call me Kray-zee PAY-ving,
A lung that is misbehaving.
I am the stone, I am the grout,
A lung that is struggling and crying out.
I’m Jee-Jee-Oh plus SEP-tal lines,
A combination of two signs.
(Bridge)
You’ll find me most famous, my name on the lease,
Of Pull-mon-AIR-ee Al-VEE-oh-lar Pro-tee-in-OH-sis (Pee-Ay-Pee).
Where lungs fill with sur-FAK-tant, a milky, thick tide,
And the septa are swollen, with nowhere to hide.
But I’m not just this protein-filled state,
I’m a sign of other, more terrible weight.
I’m Pull-mon-AIR-ee Ee-DEE-ma, when the heart starts to fail,
I’m Dee-Ay-Aych (HEM-or-ij), a bloody, wet trail!
I am Pee-See-Pee (Noo-moh-SIS-tiss), an in-FEK-shun’s attack,
I am Ay-Are-Dee-Ess, a lung on the rack!
(Chorus)
Oh, they call me Kray-zee PAY-ving,
A lung that is misbehaving.
I am the stone, I am the grout,
A lung that is struggling and crying out.
I’m Jee-Jee-Oh plus SEP-tal lines,
A combination of two signs.
(Outro)
So see me for what I am: a map of the pain,
Of a lung that is drowning in protein or rain.
A lobule that’s hazy, a septum that’s thick,
I am “Kray-zee PAY-ving”… and I signal “Act quick!”

🎵 1B. Lyrics (TCV Correct Version)

Title: “Crazy Paving”
(Verse 1)
I am the map of a fractured design,
A pattern of chaos where two signs combine.
They call me “Crazy Paving,” it’s a fitting name,
For a lung that is no longer the same.
I’m not simple, not one single hue,
I am a mosaic, a complex, sick view.
(Chorus)
Oh, they call me Crazy Paving,
A lung that is misbehaving.
I am the “stone”, I am the “grout”,
A lung that is struggling and crying out.
I’m GGO plus septal lines,
A combination of two signs.
(Verse 2)
My “stones” are the lobules, the acinar space,
A Ground-Glass Opacity (GGO), filling the place.
The alveoli are hazy, a soft, misty gray,
Where air and affliction must both share the way.
My “grout” is the line, the interlobular band,
The septal walls thickening, across the land.
(Chorus)
Oh, they call me Crazy Paving,
A lung that is misbehaving.
I am the “stone”, I am the “grout”,
A lung that is struggling and crying out.
I’m GGO plus septal lines,
A combination of two signs.
(Bridge)
You’ll find me most famous, my name on the lease,
Of Pulmonary Alveolar Proteinosis (PAP).
Where lungs fill with surfactant, a milky, thick tide,
And the septa are swollen, with nowhere to hide.
But I’m not just this protein-filled state,
I’m a sign of other, more terrible weight.
I’m Pulmonary Edema, when the heart starts to fail,
I’m DAH (Hemorrhage), a bloody, wet trail!
I am PCP (Pneumocystis), an infection’s attack,
I am ARDS, a lung on the rack!
(Chorus)
Oh, they call me Crazy Paving,
A lung that is misbehaving.
I am the “stone”, I am the “grout”,
A lung that is struggling and crying out.
I’m GGO plus septal lines,
A combination of two signs.
(Outro)
So see me for what I am: a map of the pain,
Of a lung that is drowning in protein or rain.
A lobule that’s hazy, a septum that’s thick,
I am “Crazy Paving”… and I signal “Act quick!”

✒️ 2. The Poem

Title: “My Stones are The Lobules”
I am the map of a fractured design,
A pattern of chaos, where two signs combine.
They call me “Crazy Paving,” a fitting name,
For a lung that’s no longer the same.
I am not simple, not one single hue,
I am a mosaic, a complex, sick view.
I am the “stone” and I am the “grout”,
A lung that is struggling, and crying out.
My “stones” are the lobules, the acinar space,
A Ground-Glass Opacity (GGO), filling the place.
The alveoli are hazy, a soft, misty gray,
Where air and affliction must both share the way.
My “grout” is the line, the interlobular band,
The septal walls thickening, across the land.
I am GGO… plus a reticular net,
A pattern of trouble, you must not forget.
You’ll find me most famous, my name on the lease,
Of Pulmonary Alveolar Proteinosis (PAP).
Where lungs fill with surfactant, a milky, thick tide,
And the septa are swollen, with nowhere to hide.
But I am not only this protein-filled state,
I’m a sign of other, more terrible weight.
I am Pulmonary Edema, when the heart starts to fail,
With water in both, a familiar, wet tale.
I am Diffuse Hemorrhage (DAH), when blood floods the floor,
Filling the stones and the grout, and still asking for more.
I am PCP (Pneumocystis), an infection’s attack,
I am ARDS, a lung on the rack.
So see me for what I am: a map of the pain,
Of a lung that is drowning in protein or rain.
A lobule that’s hazy, a septum that’s thick,
I am “Crazy Paving”… and I signal “Act quick!”

3. đź“ś History, Etymology & Descriptors

 

Title (with Wiki link) Comments
History • This is a modern radiologic sign, first described in the era of High-Resolution CT (HRCT).

• It was first coined in 1989 by Murch and Goon in a description of Pulmonary Alveolar Proteinosis (PAP).

• Rosen, Castleman, and Liebow (1958) were the pathologists who first described PAP itself, the classic cause of the sign.

• The sign was later identified in a host of other acute lung injuries, such as PCP (Pneumocystis pneumonia) and Diffuse Alveolar Hemorrhage (DAH).
Etymology • A direct, non-medical analogy.

• It is named after Crazy Paving, a British term for a style of garden patio or path.

• The path is made by setting irregular, broken paving stones (the “stones” = GGO) into thick, visible mortar (the “grout” = interlobular septal thickening).
Key Descriptors • GGO (Ground-Glass Opacity): The “stones” of the pavement. This is the partial filling of the alveoli.

• Interlobular Septal Thickening: The “grout” between the stones. This is the thickening of the walls of the secondary pulmonary lobule.

• Combination of Two Signs: The term requires both GGO and septal thickening to be present.

• Classic Cause: Pulmonary Alveolar Proteinosis (PAP), where the alveoli are full of surfactant (GGO) and the septa are thickened by inflammation.

• Differential Diagnosis (DDx): Pulmonary Edema, Diffuse Alveolar Hemorrhage (DAH), PCP (Pneumocystis pneumonia), ARDS, Lepidic Adenocarcinoma.

 

4. 🏛️ Cultural Context

 

Title (with Wiki link) Comments
Paving/Masonry • The literal origin of the name.

• A patio made of irregular, broken paving stones (GGO) held together by thick mortar (septal thickening).
Geography (Cracked Mud) • A dried lake bed or mudcrack pattern.

• The “stones” are the flat, dried plates of mud (GGO).

• The “grout” is the network of cracks between them (septal thickening).
Art (Stained Glass) • A stained glass window.

• The “stones” are the irregular pieces of colored, semi-transparent glass (GGO).

• The “grout” is the thick, dark lead came (septal thickening) that holds the pieces together.
Food (Crème Brûlée) • The cracked sugar topping of a crème brûlée.

• The “stones” are the flat plates of caramelized sugar (GGO).

• The “grout” is the network of cracks between them (septal thickening).

 

5. đź‘Ą Notable People

 

Category Names & Comments
Contributors • Samuel Rosen, Benjamin Castleman, & Averill Liebow: (1958) The three pathologists who published the landmark paper in the NEJM that first defined Pulmonary Alveolar Proteinosis (PAP), the classic cause of crazy paving.

• Murch and Goon (1989): Radiologists credited with coining the term “crazy paving” for the CT appearance of PAP.
Patients • (This is a sign, not a disease. This lists patients with the causes.)

• Freddie Mercury: (1946-1991) Died of complications from AIDS. The classic AIDS-related pneumonia, PCP (Pneumocystis pneumonia), is a key cause of the crazy-paving pattern.

• Arthur Ashe: (1943-1993) Tennis player who died of complications from AIDS, including Pneumocystis pneumonia.

• Eazy-E: (1964-1995) American rapper who died from AIDS-related PCP.

• Nick Cordero: (1978-2020) Actor whose severe COVID-19 led to ARDS and DAH, both of which are major causes of the crazy-paving pattern.

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