Diffuse cystic lung diseases

Jay H Ryu, Xinlun Tian, Misbah Baqir, Kaifeng Xu

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Diffuse cystic lung diseases are uncommon but can present a diagnostic challenge because increasing number of diseases have been associated with this presentation. Cyst in the lung is defined as a round parenchymal lucency with a well-defined thin wall (< 2 mm thickness). Focal or multifocal cystic lesions include blebs, bullae, pneumatoceles, congenital cystic lesions, traumatic lesions, and several infectious processes such as coccidioidomycosis, Pneumocystis jiroveci pneumonia, and hydatid disease. "Diffuse" distribution in the lung implies involvement of all lobes. Diffuse lung involvement with cystic lesions can be seen in pulmonary lymphangioleiomyomatosis, pulmonary Langerhans' cell histiocytosis, lymphoid interstitial pneumonia, Birt-Hogg-Dubé syndrome, amyloidosis, light chain deposition disease, honeycomb lung associated with advanced fibrosis, and several other rare causes including metastatic disease. High-resolution computed tomography of the chest helps define morphologic features of the lung lesions as well as their distribution and associated features such as intrathoracic lymphadenopathy. Correlating the tempo of the disease process and clinical context with chest imaging findings serve as important clues to defining the underlying nature of the cystic lung disease and guide diagnostic evaluation as well as management.

Original languageEnglish (US)
Pages (from-to)316-327
Number of pages12
JournalFrontiers of Medicine in China
Volume7
Issue number3
DOIs
StatePublished - Sep 2013

Fingerprint

Lung
Blister
Thorax
Lymphangioleiomyomatosis
Coccidioidomycosis
Pneumocystis carinii
Langerhans Cell Histiocytosis
Pneumocystis Pneumonia
Amyloidosis
Lung Diseases
Cystic Disease Of Lung
Cysts
Fibrosis
Tomography
Light

Keywords

  • Birt-Hogg-Dubé syndrome
  • cyst
  • interstitial lung disease
  • Langerhans' cell histiocytosis
  • lung disease
  • lymphangioleiomyomatosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Diffuse cystic lung diseases. / Ryu, Jay H; Tian, Xinlun; Baqir, Misbah; Xu, Kaifeng.

In: Frontiers of Medicine in China, Vol. 7, No. 3, 09.2013, p. 316-327.

Research output: Contribution to journalArticle

Ryu, Jay H ; Tian, Xinlun ; Baqir, Misbah ; Xu, Kaifeng. / Diffuse cystic lung diseases. In: Frontiers of Medicine in China. 2013 ; Vol. 7, No. 3. pp. 316-327.
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