Lung Hyperlucency: A Clinical-Radiologic Algorithmic Approach to Diagnosis

Sujith V. Cherian; Francis Girvin; David P. Naidich; Stephen Machnicki; Kevin K. Brown; Jay H. Ryu; Nishant Gupta; Vishisht Mehta; Rosa M. Estrada -Y- Martin; Mangala Narasimhan; Margarita Oks; Suhail Raoof

doi:10.1016/j.chest.2019.06.037

Lung Hyperlucency: A Clinical-Radiologic Algorithmic Approach to Diagnosis

Sujith V. Cherian, Francis Girvin, David P. Naidich, Stephen Machnicki, Kevin K. Brown, Jay H. Ryu, Nishant Gupta, Vishisht Mehta, Rosa M. Estrada -Y- Martin, Mangala Narasimhan, Margarita Oks, Suhail Raoof

Pulmonary and Critical Care Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

Areas of diminished lung density are frequently identified both on routine chest radiographs and chest CT examinations. Colloquially referred to as hyperlucent foci of lung, a broad range of underlying pathophysiologic mechanisms and differential diagnoses account for these changes. Despite this, the spectrum of etiologies can be categorized into underlying parenchymal, airway, and vascular-related entities. The purpose of this review is to provide a practical diagnostic algorithmic approach to pulmonary hyperlucencies incorporating clinical history and characteristic imaging patterns to narrow the differential.

Original language	English (US)
Pages (from-to)	119-141
Number of pages	23
Journal	Chest
Volume	157
Issue number	1
DOIs	https://doi.org/10.1016/j.chest.2019.06.037
State	Published - Jan 2020

Keywords

airway
lung hyperlucency
parenchymal
pulmonary hyperlucency
vascular

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.chest.2019.06.037

Cite this

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title = "Lung Hyperlucency: A Clinical-Radiologic Algorithmic Approach to Diagnosis",

abstract = "Areas of diminished lung density are frequently identified both on routine chest radiographs and chest CT examinations. Colloquially referred to as hyperlucent foci of lung, a broad range of underlying pathophysiologic mechanisms and differential diagnoses account for these changes. Despite this, the spectrum of etiologies can be categorized into underlying parenchymal, airway, and vascular-related entities. The purpose of this review is to provide a practical diagnostic algorithmic approach to pulmonary hyperlucencies incorporating clinical history and characteristic imaging patterns to narrow the differential.",

keywords = "airway, lung hyperlucency, parenchymal, pulmonary hyperlucency, vascular",

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doi = "10.1016/j.chest.2019.06.037",

language = "English (US)",

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T2 - A Clinical-Radiologic Algorithmic Approach to Diagnosis

AU - Cherian, Sujith V.

AU - Girvin, Francis

AU - Naidich, David P.

AU - Machnicki, Stephen

AU - Brown, Kevin K.

AU - Ryu, Jay H.

AU - Gupta, Nishant

AU - Mehta, Vishisht

AU - Estrada -Y- Martin, Rosa M.

AU - Narasimhan, Mangala

AU - Oks, Margarita

AU - Raoof, Suhail

PY - 2020/1

Y1 - 2020/1

N2 - Areas of diminished lung density are frequently identified both on routine chest radiographs and chest CT examinations. Colloquially referred to as hyperlucent foci of lung, a broad range of underlying pathophysiologic mechanisms and differential diagnoses account for these changes. Despite this, the spectrum of etiologies can be categorized into underlying parenchymal, airway, and vascular-related entities. The purpose of this review is to provide a practical diagnostic algorithmic approach to pulmonary hyperlucencies incorporating clinical history and characteristic imaging patterns to narrow the differential.

AB - Areas of diminished lung density are frequently identified both on routine chest radiographs and chest CT examinations. Colloquially referred to as hyperlucent foci of lung, a broad range of underlying pathophysiologic mechanisms and differential diagnoses account for these changes. Despite this, the spectrum of etiologies can be categorized into underlying parenchymal, airway, and vascular-related entities. The purpose of this review is to provide a practical diagnostic algorithmic approach to pulmonary hyperlucencies incorporating clinical history and characteristic imaging patterns to narrow the differential.

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KW - lung hyperlucency

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KW - vascular

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Lung Hyperlucency: A Clinical-Radiologic Algorithmic Approach to Diagnosis

Abstract

Keywords

ASJC Scopus subject areas

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