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A lung nodule or pulmonary nodule is a relatively small focal density in the lung. A solitary pulmonary nodule (SPN) or coin lesion, [1] is a mass in the lung smaller than three centimeters in diameter. A pulmonary micronodule has a diameter of less than three millimetres. [2] There may also be multiple nodules.
Ground-glass opacity is in contrast to consolidation, in which the pulmonary vascular markings are obscured. [3] [5] GGO can be used to describe both focal and diffuse areas of increased density. [5] Subtypes of GGOs include diffuse, nodular, centrilobular, mosaic, crazy paving, halo sign, and reversed halo sign. [6]
The non-fibrotic form is typically characterized by ground glass opacities, mosaic attenuation, ill-defined centrilobular nodules (<5 mm), and air trapping. [12] The fibrotic form is typically characterized by irregular linear opacities/coarse reticulations, traction bronchiectasis , and honeycombing , patchy ground-glass attenuation ...
The presence of lung nodules on high resolution CT is a keystone in understanding the appropriate differential. Typically, the distribution of nodules is divided into perilymphatic, centrilobular and random categories. Furthermore, nodules can be ill-defined, implying they are in the alveoli, or well defined, suggesting an interstitial position ...
Centrilobular emphysema, also called centriacinar emphysema, affects the centre of a pulmonary lobule (centrilobular) in the lung, the area around the terminal bronchiole and the first respiratory bronchiole, and can be seen on imaging as an area around the tip of the visible pulmonary artery. Centrilobular emphysema is the most common type ...
The bilateral bronchiectasis and prominent centri-lobular nodules with a "tree-in-bud" pattern shows noticeable improvement. The diagnosis of DPB requires analysis of the lungs and bronchiolar tissues, which can require a lung biopsy, or the more preferred high resolution computed tomography (HRCT) scan of the lungs. [7]