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Bullae can become extensive and combine to form giant bullae. These can be large enough to take up a third of a hemithorax, compress the lung parenchyma, and cause displacement. The emphysema is now termed giant bullous emphysema, more commonly called vanishing lung syndrome due to the compressed parenchyma. [28]
LAM cells appear to arise from an extrapulmonary source and migrate to the lung. [21] Increased LAM cell migration and invasiveness is rescued by TSC2 re-expression. [49] The cellular and molecular mechanisms of neoplastic transformation and lung parenchymal destruction by LAM cells remain unknown.
Enlarged cuboidal cells lining mildly thickened alveolar septa. [11] Enlarged cuboidal cells have abundant, eosinophilic cytoplasm and large, round nuclei. [12] Papillary pattern with irregular margin and lymphocyte infiltration in the stroma. [13] No proliferation of immature smooth muscle cells suggestive of lymphangioleiomyomatosis.
A lung cyst, or pulmonary cyst, encloses a small volume of air, and has a wall thickness of up to 4 mm. [3] A minimum wall thickness of 1 mm has been suggested, [3] but thin-walled pockets may be included in the definition as well. [4] Pulmonary cysts are not associated with either smoking or emphysema. [5]
Restrictive lung diseases are a category of extrapulmonary, pleural, or parenchymal respiratory diseases that restrict lung expansion, [2] resulting in a decreased lung volume, an increased work of breathing, and inadequate ventilation and/or oxygenation. Pulmonary function test demonstrates a decrease in the forced vital capacity.
Pneumonia may develop complications such as a lung abscess, a round cavity in the lung caused by the infection, or may spread to the pleural cavity. [ citation needed ] Poor oral care may be a contributing factor to lower respiratory disease, as bacteria from gum disease may travel through airways and into the lungs.
An axial CT image showing bullous emphysema of the lungs. There are larger air pockets on the right than left. Bullous emphysema is a condition seen in patients with chronic obstructive pulmonary disease (COPD). The units making up the substructure of the lung (alveoli) become permanently enlarged due to the destruction of their walls.
Typically, an area of white lung is seen on a standard X-ray. [5] Consolidated tissue is more radio-opaque than normally aerated lung parenchyma, so that it is clearly demonstrable in radiography and on CT scans. Consolidation is often a middle-to-late stage feature/complication in pulmonary infections.
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