Flow diagram for workup and diagnosis of noninfectious lung
diseases after HCT.
Blue box, diseases commonly diagnosed in the first 100
days after HCT. Gray box, those diseases occurring
usually beyond day 100 after HCT. Noninfectious lung injury workup and
diagnoses are in boxes. *Additional pulmonary diagnoses
are denoted by stars and listed in the column in which
these diagnoses would be included in the differential. Notably, other
processes can exhibit low DLCO, which is often reduced in RLD, but
isolated DLCO reduction should prompt evaluation for vascular diseases
of the lung. For the workup of obstructive disease, infection is often
diagnosed, which should prompt repeat testing after treatment to
ascertain BOS diagnosis (arrows). bx, biopsy; DLCO,
diffusion capacity of lung for carbon monoxide; ID, infectious disease
workup; PE, pulmonary embolism; toxin-IP, toxin associated interstitial
pneumonitis, including that from radiation or chemotherapy.