Table 2. Differential diagnosis of cavitary pulmonary nodules(1).
Benign cavitating pulmonary lesions | Malignant cavitating pulmonary lesions | ||
---|---|---|---|
Infectious | Bacterial necrotizing pneumonia: S. pneumoniae, H. influenza, K. pneumoniae, S. aureus Lung abscesses: Prevotella, Fusobacterium, and S. milleri group Uncommon infections: Actinomyces, Burkholderia pseduomallei, and Rhodococcus equi. Mycobacterial: M. tuberculosis, M. avium, M. intracellulare, M. malmoense, M. xenopi. Fungal: Aspergillus sp., Zygomycetes, Histoplasma capsulatum, Blastomyces dermatidis, Coccidioides immitis, Coccidioides posadasii, Paracoccidioides brasiliensis, Cryptococcosis neoformans, Penicillum marneffei, Pneumocystis jiroveci |
Primary | Squamous Cell Carcinoma Lymphoma (particularly in HIV) Kaposi's Sarcoma Lymphomatoid granulomatosis |
Autoimmune | Granulomatosis with polyangiitis Sarcoidosis Ankylosing Spondylitis Rheumatoid nodules Primary amyloidosis |
Secondary | Metastatic tumors of squamous cell origin are more likely to cavitate than tumors of other origins |
Pulmonary | Pulmonary Embolism Bronchiolitis Obliterans Organizing Pneumonia (up to 6% may have cavitary lesions (55)) Pulmonary Langerhans' cell Histiocytosis |