Table 1.
Possible diagnosis | Clinical symptoms | Radiological findings |
---|---|---|
Interstitial lung disease | Dyspnea, non-productive cough, malaise, fatigue, weight loss | X-ray – consolidation, fibrosis; HRCT – consolidation, fibrosis, ground glass partial alveolar filing, reticulonodular pattern. |
Tuberculosis | Productive cough, malaise, fatigue, weight loss, night sweats, hemoptysis | X-ray – infiltration, cavitation, nodularity, hilar/paratracheal lymphadenopathy, pleural effusion, atelectasis; HRCT – infiltration, granulomas and tree-in-bud appearance |
Amiodarone-induced interstitial lung disease | Progressive shortness of breath (dyspnea), non-productive cough, malaise, fever, pleuritic chest pain | X-ray – consolidation, fibrosis; HRCT – diffuse interstitial pneumonitis with fibrosis and ‘ground-glass’ opacities, consolidation |
Vasculitis | Fever, weight-loss, fatigue, evidence of multisystem involvement, rashes | X-ray – pneumonia-like x-ray picture; HRCT – bilateral perihilar or peripheral ground-glass opacities, pulmonary haemorrhage |
Wegener’s granulomatosis | Necrotizing granulomatous lesions of respiratory tract, ulcers, malaise, fatigue, weight loss | HRCT – perihilar or peripherical ground-glass opacities, pulmonary haemorrhage, necrotizing granulomas |
Lung tumor | Dyspnea, non-productive cough, malaise, fatigue, weight loss, hemoptysis | X-ray – nodule or mass with hilar enlargement, lobulated hilar mass, atelectasis; HRCT – solid or mixed pulmonary nodules or mass, atelectasis, lymphadenopathy |
Bacterial lung infections | Fever, chills, productive cough, dyspnea, pleuritic chest pain, fatigue | X-ray – consolidation of the lobe, dense opacities, pneumothorax, hydrothorax; HRCT – centrilobular nodules, tree-in-bud pattern, pleural-based consolidation |
Underlined symptoms are suitable to the patient