Kruglik G D, Reed J C, Daroca P J
Radiology. 1976 Sep;120(3):583-8. doi: 10.1148/120.3.583.
The radiologic patterns caused by interstitial lung disease evoke a long list of differential diagnostic possibilities. Though the problem may at first seem insoluble, subdivision into conditions that spare the pulmonary architecture, as opposed to those that lead to an end-stage "honeycomb lung", and consideration of the clinical findings will frequently narrow down the list. Occasionally, key associated findings such as pleural effusion, pneumothorax, and systemic involvement of many organs will help rule out inappropriate diagnoses. Lymphangiomyomatosis is a rare cause of "honeycomb lung" that may result in a very specific combination of radiologic and clinical findings.
间质性肺疾病引起的放射学表现引发了一系列鉴别诊断的可能性。尽管这个问题起初似乎难以解决,但将其细分为不累及肺结构的情况(与导致终末期“蜂窝肺”的情况相对),并考虑临床发现,通常会缩小鉴别范围。偶尔,诸如胸腔积液、气胸和多器官系统受累等关键相关发现将有助于排除不恰当的诊断。淋巴管平滑肌瘤病是“蜂窝肺”的罕见病因,可能导致放射学和临床发现的非常特殊的组合。