Skip to main content
. 2024 Nov 5;37:100494. doi: 10.1016/j.jctube.2024.100494

Table 1.

Radiologic features of major DCLD.

Disease Lung cyst distribution and characteristics Other radiological features
Lymphangioleomyomatosis (LAM)
  • Cysts are regular and thin-walled and usually measure 2-10 mm in diameter

  • Are diffusely distributed

  • Vary in number

  • Small regular centrilobular nodules

  • Areas of ground-glass opacity

  • Pleural effusion

  • Ascites

  • Renal angiomyolipoma

  • Abdominal and pelvic LAM

Pulmonary Langerhans cell histiocytosis (PLCH)
  • Cysts are irregular and thick- or thin-walled, later becoming bizarre in shape, and can coalesce

  • Vary in number and size

  • Predominate in the upper lung zones, sparing the region of the costophrenic sinuses

  • Irregularly marginated centrilobular or peribronchiolar nodules measuring 1-10 mm in diameter

  • Enlargement of the pulmonary trunk and of the right and left pulmonary arteries

Lymphocytic interstitial pneumonia (LIP)
  • Cysts vary in shape

  • thin-walled

  • Measure up to 30 mm in diameter

  • Are diffusely distributed, predominating in the lower lobes and along the peribronchovascular bundle

  • Ground-glass opacities and focal consolidations

  • Peribronchovascular bundle thickening

  • Poorly defined centrilobular nodules

  • Interlobular septal thickening

  • Reticular opacities

  • Mediastinal and hilar lymph node enlargement

Follicular bronchiolitis
  • Cysts vary in shape and are thin-walled

  • Measure up to 30 mm in diameter

  • Are diffusely distributed, predominating in the lower lobes and along the peribronchovascular bundle

  • Centrilobular nodules or ground-glass opacities

Birt-Hogg-Dubé syndrome (BHD)
  • Cysts are multiple and irregular - Predominate in the lower medial and subpleural regions of the lung

Desquamative interstitial pneumonia (DIP)
  • Cysts are regular and measure up to 20 mm in diameter

  • Predominate in the lower lung zones

  • Diffuse ground-glass opacities predominating in the lower lung zones - Mild distortion of the lung architecture