Diseases Involving the Lung Peribronchovascular Region: A CT Imaging Pathologic Classification.

Autor:	Le L; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Narula N; Department of Pathology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Zhou F; Department of Pathology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Smereka P; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Ordner J; Department of Pathology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Theise N; Department of Pathology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Moore WH; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Girvin F; Department of Diagnostic Radiology, Weill Cornell Medicine, New York, NY., Azour L; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY; Department of Radiological Sciences, UCLA David Geffen School of Medicine, Los Angeles, CA., Moreira AL; Department of Pathology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Naidich DP; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY., Ko JP; Department of Radiology, NYU Langone Health; NYU Grossman School of Medicine, New York, NY. Electronic address: Jane.ko@nyulangone.org.
Jazyk:	angličtina
Zdroj:	Chest [Chest] 2024 Oct; Vol. 166 (4), pp. 802-820. Date of Electronic Publication: 2024 Jun 22.
DOI:	10.1016/j.chest.2024.05.033
Abstrakt:	Topic Importance: Chest CT imaging holds a major role in the diagnosis of lung diseases, many of which affect the peribronchovascular region. Identification and categorization of peribronchovascular abnormalities on CT imaging can assist in formulating a differential diagnosis and directing further diagnostic evaluation. Review Findings: The peribronchovascular region of the lung encompasses the pulmonary arteries, airways, and lung interstitium. Understanding disease processes associated with structures of the peribronchovascular region and their appearances on CT imaging aids in prompt diagnosis. This article reviews current knowledge in anatomic and pathologic features of the lung interstitium composed of intercommunicating prelymphatic spaces, lymphatics, collagen bundles, lymph nodes, and bronchial arteries; diffuse lung diseases that present in a peribronchovascular distribution; and an approach to classifying diseases according to patterns of imaging presentations. Lung peribronchovascular diseases can appear on CT imaging as diffuse thickening, fibrosis, masses or masslike consolidation, ground-glass or air space consolidation, and cysts, acknowledging that some diseases may have multiple presentations. Summary: A category approach to peribronchovascular diseases on CT imaging can be integrated with clinical features as part of a multidisciplinary approach for disease diagnosis. Competing Interests: Financial/Nonfinancial Disclosures None declared. (Copyright © 2024 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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