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Historically, tuberculosis was the most common cause of the lung cavity (and still is in areas where tuberculosis is endemic); [7] however, the cavity can also be caused by sarcoidosis, bullae, bronchiectasis, or cystic lung disease. [2]
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]
A pulmonary cyst is not necessarily the same type of cyst seen in many cystic lung diseases. The cyst for example in pneumocystis pneumonia is not the same as the pulmonary cyst. [citation needed] CT scan of lymphocytic interstitial pneumonia with cysts. CT scan of multiple lung cysts in pneumocystis pneumonia. Cystic lung diseases include:
Bronchogenic cysts are usually found in the middle mediastinum. Chest x-rays show a smooth density just in front of the trachea or main stem bronchi at the carinal level. When the cyst communicates with the tracheobronchial tree, the air-fluid level may be seen within the cyst. CT scanning is useful in localizing these cysts.
A common genetic cause is cystic fibrosis, which affects chloride ion transport. [28] Another genetic cause is primary ciliary dyskinesia, a rare disorder that leads to immotility of cilia and can lead to situs inversus. [52] When situs inversus is accompanied by chronic sinusitis and bronchiectasis, this is known as Kartagener's syndrome. [53]
The cysts resemble crushed ping-pong balls and are present in aggregates of two to eight (and not to be confused with Histoplasma or Cryptococcus, which typically do not form aggregates of spores or cells). A lung biopsy would show thickened alveolar septa with fluffy eosinophilic exudate in the alveoli.
The laceration may also close up by itself, which can cause it to trap blood and potentially form a cyst or hematoma. [8] Because the lung is elastic, the tear forms a round cyst called a traumatic air cyst that may be filled with air, or blood and air, and that usually shrinks over a period of weeks or months. [13]
CT scan in a patient with usual interstitial pneumonia, showing interstitial thickening, architectural distortion, honeycombing and bronchiectasis.. In radiology, honeycombing or "honeycomb lung" is the radiological appearance seen with widespread pulmonary fibrosis [1] and is defined by the presence of small cystic spaces with irregularly thickened walls composed of fibrous tissue.