Centrilobular lung nodules
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At the time the article was created Yuranga Weerakkody had no recorded disclosures.View Yuranga Weerakkody's current disclosures
At the time the article was last revised Sebastian Röhrich had the following disclosures:
- contextflow GmbH, Medical advisor (ongoing)
These were assessed during peer review and were determined to not be relevant to the changes that were made.View Sebastian Röhrich's current disclosures
Centrilobular lung nodules refer to a HRCT chest imaging descriptor for small 5-10 mm lung nodules which are anatomically located centrally within secondary pulmonary lobules. The term is applied on the basis of location of the nodule and not its morphology, that is they may be well-defined or poorly-defined ground glass in appearance. If extremely small they are termed centrilobular micronodules.
Centrilobular nodules can be observed in a wide variety of lung pathology. In particular, pathologies that involve the bronchioles and the arterioles (i.e., bronchiolitis and vasculitis) as both are located centrally in the secondary pulmonary lobule. Specific conditions include:
infection with endobronchial spread
pulmonary vasculitides (GGO may correspond to perivascular inflammation or hemorrhage)
pulmonary arterial hypertension (particularly PVOD)
lung adenocarcinoma with airway spread
metastatic pulmonary calcification (increased density, may be calcified)
When centrilobular nodules are interspersed with linear and branching densities, it is then termed a tree-in-bud pattern.
On HRCT chest, centrilobular nodules are typically found around the small airways and spare the subpleural surfaces. They are typically at least 5-10 mm away from the pleural surfaces ref.
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