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. 2024 Nov 12;20(3):240104. doi: 10.1183/20734735.0104-2024

TABLE 1.

Differential diagnosis of lymphoid proliferations

Condition Patient presentation Radiological features Microbiological correlation
Primary pleural lymphoma (non-Hodgkin lymphoma) Patient can suffer from autoimmune diseases or chronic inflammation; in some cases, patients have no history of medical conditions Pleural nodules, pleural thickenings, mediastinal mass, thoracic lymphadenopathy; pleural effusion can be unilateral (sometimes as chylothorax) Unclear/none in particular
Primary effusion lymphoma (PEL) Immunocompromised, transplanted or cirrhosis patients Absence of nodules or masses; pericardial and peritoneal involvement HHV-8, HIV, HBV, others
Pyothorax-associated lymphoma (PAL) Patients may have history of chronic pleuritis or empyema, pleural TB (especially past artificial pneumothorax therapy) or immunocompromised patients with EBV infection Pleural mass, invasion of surrounding tissue (ribs), empyema EBV, Mycobacterium tuberculosis, others

HHV-8: human herpesvirus-8; HBV: hepatitis B virus; EBV: Epstein–Barr virus; TB: tuberculosis.