70 P A R E N C H I MP U L M O N A R C A P I T O L U L4 l i

I
CAPITOLUL4 PARENCIIIM
PULMO,JAR 71
c'+irr :riccliuni cronice:
4.10.DESEN|NTERST|TIAL
,RE]-tCULrr
l
rr Stenozi rriitrali;
CU BENZIGROASE
tr lviixorn atlial sting;
r.r.lrolr!I',reriousl puhnonlrrir ocluzivl;
o" Azl;e_str:zil :
c- I/edizrstilliti ljbroflsi ;
o" Silicozi;
ir Insuficicnlirrcnalircronicit; ;
o llcriliozi; i
(mai ales la copii);
tr Linrfhngiectazii '
o" lrlhalafiiclegnze ,
i
<r Mase rnediastinale; (dioxiclde sulf, Ibsgen,.icidclorJri,lr,,
: gir::os);
i i
c. Lirnfangitl; o+ Chimigt.erapjq,
(busulfirn,imerotrcx;it);
:
c- Silicozi; D9 ,
Sarcoiclozl'r; I

I
t :
rcAzbcstozir; c* .Sclcl'oclc4nic;

r-rIicrilioz:'r; r.'+ l,rrI'rrr.s<:ri tgp;11o.s r[i.ieg i L.l!]!_(

|it t-];
rr Alvcolitir;rlcr'g;icl-t
; uo .Scc'lrclc1>clsf
.nrclir:l.C,r.:rpi
l-
tr Scleroclcnnie; o+ IJron.sicctazii; ,,
,
c. Sclerozi tubeloasi; c" Iiibrozli pulmonari.
. i
r
c. HemosideroziidioPatic:t. t

4.11.PLAMANCU A$PECT ,,iNI\{IHUDI: PI\|T.IE" I

' ;
r
a')
t-

oo Procesinlectios iqglliga\llll
v
it,.

o" i;ibrozl interstigiaiiclifuzi,; 7

a :

cl Untllzempafirsepfal,sub.rleur.rl; t:,

eo Bronsiectaziilocrliz:rte; n
rrt
72 P A R E N C I l I MP U L M O N A R c A P r r o l - u4L
CAPITOLIJL
4 P A R [ I I I C H I MP U L M O I I A T l ,'3

(lbmrir Pt'cclorttitrent
cp S:rlcoiclozir intct'.st
iIirrli);
4.13.NCIDULPI.JL'L4ONP\R
UI'IIC
o" i-listiocitozi X;

c* Sclclodermie; co Cunccl l;ron"sir,-

primitii.,; / l
c'+ Lin-rfangit:-r; c+ Mct:rsl;rzirpulmonnr:1unici; / l
t 6' ) lt
'l'ul:erculorri;
op Azbcstozi, cro II
I
I
p + i r r l ; r r c tp u l r n o n a r l ' { l

oo I)rrer-rnlonic
clorricizati:
4.12.DESENRETICULOMICRON
ODULAR
coo[.inr{brn;
DISEMINAT
r-, (lltjst Iriclaric;
i
r:+ I lilmllttoln:
c* Azbestoza;
'J
o+ c:rtlt'lrtt;
o" l;il>rozaintcrstitialit clilirzr-r;
-i.i5
E, 1\lg!l_ell:-l:re!qi!-;
o* I-iml'rngitu c;rrcinorn:rtort.sir
;
r-:oI ) t'tcuttrc.ll-rl
111;1,rtr.,'
oo Srtrcoicloza;
*' llcgglb1gg;_ T K
o" Inhalaiia de substanle organicc;
r:. M;rl{ornlrtic :rrteLio-vr:nc>:rst"r1 I'l Jlt/
o" Chinrioterapie; ' i i

Abccr; puluronar;
o" Scleroclertnie; '
I)ncumoconiozl'r;
c," Poliartrita reumatoicii;
Micetonr:
o" SinclrotnSjogrcn:
tit Scchcstrrr
1ie pul monari;
o+ Dennlitorniozitir.
I i c n r ; r n q i o r ns c ] c l o z a r t tD u l r r r o n ; r r ' :
I I r''iljji::::r1--
-rrr.rtnnr.
.-i

C+ P ; r r r fi n o n r ;
74 P A R E N C H I MP U L M O N A R C A P I T O L U L4
1r:
CAPITOLUL4 P A R E N C H I MP U L M O N A R

eo Bo:rla li/egener,
Periarterita rrodoasi;

I.im[o:tme I iodglii r-iiene/ no rr-l IoiJ.;:li i n ic tr.:;

4,14.CRITERIIDE MALIGNITATE D' Pneumoconioze;'
',:, :
A U N U IN O D U LU N I C ,l*i q''t'r ' 1'' 't' ' :{Lr-t1'.1 ..'. 'i
a+ Sarcoicioza; ., -./
, - rlr ( ' r r . r r , l
P n e u n r o n i a l i p i d i c. .i i(\;' , -( -1- ,\ r , _- ", t u ' ( --, 1 .i : r \
-
O"
O? Virsta mli mare de 45 cle ar:i; . -, , .$.ir..rl\..._ i'I.,,r{, (-ic,u;r.l-..r'
L)o I cziluflsnloze;
tb i)i:rmetru rnlii mare cle 4 cm;.
w Irrfhrcte pulmonxrc multiplc;
? .
tlr Isi milesLe di;rmetrul irr rimp scurt;
H Poli:rrtrita reumritoidir.
Contur-r.irinelegulete, parlial .stcrsc;

Lipsa calcil'icir
rilor: : l

LY f)ensit:ite tisul:rr:1,plinclc contr:r.stiocl:rt 4.16.NODULPULMOI,IARCU I$lCl.\/FiTli

c+ Al>cespulmonar; 'i'
4.15.NODULIPULMONARI
MULTIPLI
e+ Cirverni tuberculoasi;

cl+ Crncer brongic primitiv; t'.it

'ir.
(}p Metasl.azcirulmOnnre; t;j
p+ Metastazir pulmonari;
c* Cancer brongiolo-alveolar; '> /-'\
// \ \ o" lJula de emfizem infectati;
/ r-i)\ n
,",1
. . .
oo Cancer brongic primitiv nrultilbcal; / 0 \ o' Bula cle ernfizern ltemoragir:i;
i. L -:-' V;.
t':)
(uo \ :
o+ T'uberculoame; \_-----
oo Aspergilom: tl.*pr.1' ; .'li ., r )
!t..-,., i a ti:j
o+ Malforma lii arterio-venoase;
\ l
1r r,a
oo Cirist hiclatic rupt" , ,r-'r--'i' .-ar I I
al
I I
o+ I-leruatolrrnc; \ . r ,
,-'. i '
'l-
-il ){r
I\a

oo Ciristc liiciaticc;
" ' 1 " * . i T:
' 5A
L:A
rf,1 "-:
I
I
o+ Histiocitoztt X;
14
i:,
\;./
#l
I

ffi
 t\r PARENCI.IIM
PULMONAR C A P II O L L ' L4 '1a
C A P I I O IU I 4 PARENCHIM
I'ULMONAR

4.17"NODULPULMONAR
CU CALCIFICARI E>l Ilrorrsiolitirolrliter-:rnt:r
cu orgirn 4 r r ( : I , n - : t ' tr t r l r r i c : l ;
Dctcrurin;iri1t:rrerr
.:ltirnzrtoase
ir r l i , r r f i :r : r , .
T'ubcrculonr;

Nocltrl .silicc-rric;
/!\ t
4.19.NODULpulil,!CIhlA
'
l

O+ I-{nma rlocclnclrorn; R cu cot.ltuFti

'i'cmtorn:
gTERSE
, \
I D,+' A'letrst;rzir
pr.rlmonar:"r
in; 'l-ul;crcu
-"-\ / o.stc()s:rrcon.l: t.}' loz.e;
-
r sinovi;rlo.sargltnl; (.;tnccr' I rrolrlriolo-;rlveol:rr;
/ cOrrclro..iiueQn;
/ mczencltimorn m:rlign; l>+ I Icnror;rgic 1.tulmor
rar;-rirrIm-:rlvcolrrrir;
/ Ilbl'osercorn.
NodLrl.silicoti<::
t .a,r..iffi4ry lit

/ lnctastaz:r l l-r.
-{r-tcli:r fs+ N o c l r r cl l-c I_:_:-:.:._::9ll
i l n l i L n s i 't
-)
B' Noclr"rlulclin sarcoicloz.ir; l',rnIrolrrs.scptit:.
B' P
- ar:rzitozc..
i i

4.20.HEMORAGIEPULNIONARA
4.18.NODULPULMONAR INTRAALVEOLARj,
CU BRONHOGRAMA
AERICA i

i
c* Stcnozi rnilnlii;
oo Cancer bronhiolo-alvcolar; c. Itrsr.rlicicnti vcntricLrlari slingir;

e, Pneurnolrie cronic:-t
; o-"'l'rrllrtrn-tr
i clc coaguI:rrc;
Met;rstazit
1>rrcnchi m:rtorsir clc nrcllrnorrr; c . V ; r s c -l :i rt r i l r : :

t>a I Iernoragiepulmoneririntra-llvcol:u.:-r
: o" Col;rgenozc;
()ooclitestrrrc;
co Sirrclrclnt -- -l-\.i, , 2. (_ -.| ,
(\
:'>cr-_i.,Lh L, *ti 1,:^ f,:u, x '-r l--_(;
i , l : il ,
I
I \
. t I
 C A P I T O L U L4 P A R E N C H I MP U L M O N A R 7$,
7B P A R E N C H I MP U L M O N , A R C A P I T O L U L4

r:" i ictnosiderozi idiop;rtich

4.23. OPACITATE ALVEOLAR,\ $ l$' i'l .lifl.ir t Ii'A'f A
(SEGMENTARASAU LOLIARI.)

4.21.ruODULPULMONAR
DE ETIOLOGIE co Pneumonie becteriltnl acuti; :'
; :
VASC[JLARA o+ Pneumonie bacterianir cronicl; i
,1;

i
o+ Atelectaziecomirletir/incoml>leti; l ;

, ' , : i
p" Fistula arterio-venoasi puiinonarl malfbrmativi; .'l
, . J

oo Cancerbrohiolo-alveolar; rl

oo Vena pulmonari cu traiect abcrant intrapulmon;rr; or, Segmentitl/lobitirtuberculolrsl;

"" Sgjonl_pulmonar; I
o" Infarct pulmonar intins;
* I@prinritivlsccunclar; Tv-. \rtrrC \r-\ oo LimfoLcu determin;lre parenchilnflt('ilsi pttlrronarl;
\^
ee Anevrismarterialpulrnonar; ltdt:*(^.. o+ Pncuntonit":r115!jgl*
t
Yr",.*l-.S.,,
o* Anevrismartcrial bron.sic. I o* Micozc pulnronare; '
i :

or Ilronpiolitir obliter:rnlir'(fornrapllt]r.lln('rti(li)"
I

4,22.NODULPULMONAR
CU CONTTNUT
LIGHIDIAN
S.JIIIJ.
$EGMENTI\R}.
4,24,ATELECTAZIE I C}B,AIqA

Chist liiclatic;
Chist bronhogenic;
Abces pulmonar cronic;
Bula de emfizemsuprainf'ectati;
D+ I lematom organizat;
b Metastrrziclristici.
oo Corp strlirt endobrongic;
co Dop de mttcus obliterant;
oo Astm bronsic culfggltOlurggi;-
* Tunori cndobrongici
bsqllnll tI{jr..l$
I\4c t irst;l 7.c c nc!quq1;1-csi- -
o '-J c, r' r to(<-r "r-
oo Stcnozlbronsit:iluberculo;tsi;
 80 P A N E N C H I MP U L M O N A R
C A P I T O I . U 4L

n'-r'-(')l
C A r ' l 1 g 1 g 1n i{Cl Ilivi
't,Ll,iON/
(
o l
* c + I ) c ' l < r. 1
r r i n l r i l t u i m () n a r - e
c l r tJ j l n l l , r n ;
c* Contprcsic bronsicirprin turnol.;iclc r.ccrnlt;rtc
(t u'rorl rnecliastinal.ir, o , . S i l i rl z i ;
adc'oqt;rIii, ;rrrct,r.,i.s
rrrc ) ;
o" Colaps pasiv prin comprcsic; e+ I lcnr;rlont ltulrnolt rt-;

o* Arniloiclozi; r;. lirnlrolie ltuJrlorur i.

'-t o* .Mucovisciclozi: Ar
lll.' o".' .[i\^..-,. .L.r[ ;, .. .,. L . f'
( af,b.e ^{.t

/ non-r-rocrgriini... trr-2'
o+ Lirnfb.r Il.crgr<i'iarr
4.26.NODUI_
in'trn-oc/,vtTA.-EpttEE;{r}.t,,:t,t
"rr=ah..,0.,, TA
l'*' *ttn"-,.*(l'g" t=.L'-^ \-r'-r
c'-(-r-
;tl Bt.---:*
4,5.LEzffhFc*h;-tummA*].* .,)<,,1,
rrl o . , M i c r : t o r n i n l . l r c : a v i l, r r :
t :rspcrgilor;
Fz.-*(. r cancliclu; t l
'l'ubcrculozir; t cr)'lrtococcus.
o+
A c " ( l ; r l < 'iitl. i r . ii r r L;rr c l v i t e r . c
o" Abcespuhnonar; ( c : r v c n r cl ' . 1 1 . C .b, r l c c l e : m l i z c : r n ) ;
/,^\

ftil
ti.'::1
t:'
ul
I
o" Bronpicctaziichisticc;
eo IJulc dc emfizcmsuDrlinfcct;rtc;
co Altct:s ltrrlmonlrrl

c " C l r i . sltr i c l ; r t i c ;
l

r Cltisthidaticparfialsau total evacuat;

Y:t:ii D''
oo l)ncurtronic nccrol ici;
t
it b Chistbronhogenic;
D+ Metitstltze llccfozil'.e.
Fi
r'l:,:
D9 Cancerbror-rl-riolo-alveolar
o+ Sarcotu l(aposi;
\ p -!^*"i
necr()z;ll-;
[,a*;i"*'cfcf-l'
Jlr.c-,s7-\I.'s-.'\i1','*-
k':
f"-
t
?scJ.u^i

Metastazepulrnon;irerlecfozxtc;
3
C+

Micoze pulnronnre;
i' .il
Pncumal"occl;
J Scchest
ratic ltulrrronarl-r
;
tt.ti

j
:'li