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com

SECONDARY PULMONARY LOBULE

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SECONDARY PULMONARY LOBULE

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Gross path%sy, section sIK7N5 diffuse puImonaty

edema uniformly thickening the intet/obular septa
(anows). lDbuIes are either edemallM (open arru.v) or
spared (anved amlW).

• Enlhelm-Chester disease
Alveolar Filling Pattern
• Pneumonia
• Edema, cardiogenlc and noncardiogenic
• Hemorrhage
• Alveolar proteinosls
• EosInophilIc pneumonias
• Desqwunative Interstitial pneumonitis
• Neoplastic (lipidic growth)
Capillary Pattern (also Called Random
Pattern)
• Hematogenous metastases
• Miliary Infection
Lobular Septal Pattern
• Usual Interstitial pneumonitis
• Chronic hypersensItivity pneumonitis
• Nonspecific Interstitial pneumonitis
• Asbestosis

I RELATED REFERENCES I
1. Arakawa'H et aI: Expiratory hlgh-reso1utlon en dIqnostic;
value In diffuse hmg diseases. 1JR Am J Roentgenol.
175(6):1537-43,2000
Z. TakahashI M et aI: Bronchiolar disease: spectrum and
flIdiologltal f1ndlnp.l!ur J Radlol. 35(1):15-29, ZOOO
t;otby 1V et aI: Anatomic distribution and histopathologic
patter:nt In diffuse lung disease: CXlrrelationwith mer. J
1borac ImqIng. It(I):I-Z6, 1996
HeltmWI ERet Ill:The secondary pulmonary lobule: a
practical (:Qllt1ept for interpretation of chest radiographs. I.
Roentgen anatomy of the noanaI secondary pulmonary
lobule. RadIology. 93(3):507-12, 1969

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SECONDARY PULMONARY LOBULE

I IMAGE GALLERY o
5
(l.e#'f) Axial HRCT shows
numerous localized
perivascular and subpleural
nodules. The remainder of
the lung is normal. fIliJhO
Axial HRCT 10 mm MIP
asain demonstrates
perivascul¥ nodules but also
shows numerous other
centrIacinar nodules
(amN/IS) not visible on the 1
mm thidt. scan. DiatIfrosis:
SaICOidosis.

(l.e#'f) RaeJiosraph shows

bronchial branching pIIII1em
in secondary puItrroMry
lobule. Large COte bronchiole
(open arrow), tapers 10 3
generations at terminal
bronchioles (amNVS) and
!hen 2 respitaIOry
bronchioles (curved arrow).
~ Axial HRCT shows
small lobular branching
opacities (amNVS) and
numerous centrilobular
nodules some of which haIIe
ground-pw heJos (curved
arrows). InlTaVascular IUmor
emboli.

(l.e#'f) Axial HRCT shows

markedly irresularly (and
beIlded - arrow) /merIobuIar
septal th~ and
thicken"" of bronchiole
walls (cuned anuw) from
Iymphanslrlc IUmor. /JIWIO
Axial HRCT shows duster at
ce""iIobtMr noduIeJ
(anows) In IIdditJon 10
subpleural nodules and
~tcuwed
arrows) II.". _~mphatic
distribulion. Silicosis.

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