Air-space opacification (summary)
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This is a basic article for medical students and other non-radiologists
Air-space opacification is a descriptive term that refers to filling of the pulmonary tree with material that attenuates x-rays more than the surrounding lung parenchyma. It is equivalent to the pathological diagnosis of pulmonary consolidation.
Reference article
This is a summary article; read more in our article on air-space opacification.
Summary
- anatomy
-
pathophysiology
- material fills the lung parenchyma
- fluid: pulmonary oedema
- pus: pneumonia
- blood: pulmonary haemorrhage
- cells: cancer
- protein: alveolar proteinosis (rare)
- appearance
- patchy
- air-space filling is incomplete and non-contiguous
- residual gas within the alveoli
- lobar
- complete filling of a lobe of the lung
- clear delineation between consolidation and adjacent gas-filled structures
- the remainder of the lung or in bronchi travelling through the lobe
- no margin between consolidation and other soft-tissue density structures
- mediastinum or diaphragm
- patchy
- distribution
- multi-focal
- symmetrical or asymmetrical
- peri-hilar or peripheral
- often non-specific without clinical history and examination findings
- multi-focal
- material fills the lung parenchyma
-
common pathology
- pneumonia
- pulmonary oedema
- lung cancer
Imaging
-
role of imaging
- confirm air-space opacification
- differentiate from atelectasis
- help to determine the cause, e.g. other signs of heart failure
- identify complications, e.g. abscess formation
- demonstrate accompanying pathology, e.g. effusion or empyema
- determine severity, e.g. number of lobes involved
- confirm air-space opacification
-
radiographic features
- chest x-ray
- the normal air-filled lung is black
- air-space opacification is radio-opaque (white)
- aerated bronchi
- CT chest
- air-space opacification looks very similar to the chest x-ray
- distribution can be assessed more accurately
- assessment of complications is more accurate
- air-space opacification looks very similar to the chest x-ray
- chest x-ray
-<p><strong>Air-space opacification </strong>is a descriptive term that refers to filling of the pulmonary tree with material that attenuates x-rays more than the surrounding lung parenchyma. It is equivalent to the pathological diagnosis of <strong>pulmonary consolidation</strong>.</p><h4>Reference article</h4><p>This is a <a href="/articles/summary-article">summary article</a>; read more in our article on <a href="/articles/air-space-opacification">air-space opacification</a>.</p><h4>Summary</h4><ul>- +<h6>This is a basic article for medical students and other non-radiologists</h6><p><strong>Air-space opacification </strong>is a descriptive term that refers to filling of the pulmonary tree with material that attenuates x-rays more than the surrounding lung parenchyma. It is equivalent to the pathological diagnosis of <strong>pulmonary consolidation</strong>.</p><h4>Reference article</h4><p>This is a <a href="/articles/summary-article">summary article</a>; read more in our article on <a href="/articles/air-space-opacification">air-space opacification</a>.</p><h4>Summary</h4><ul>