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. 2018 Dec 29;19:88. doi: 10.1186/s40360-018-0279-1

Table 1.

Possible differential diagnosis of lung diseases in the current case history

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