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Findings on chest x-ray:
Sometimes
an air bronchogram
More often described as an homogeneous opacity with or w/o recognizable
segmental distribution
May
be an inhomogeneous opacity with or w/o recognizable segmental distribution
– acute pneumonia-like
There is no mention in the appendix of Fraser et al in the last ed:
–
Dunnick et al radiology 1976 5 cases
– Fraser (text) 1 one case
CT
findings: enriched disussion with:
– Ooi gc, chim cs, et al, clin radiol 1999 (a 6 patients studies)
– Lewis et al. AJR 1991 (a 31 patients studies)
In lymphoma presented as an aleolar infiltrate, a tissue analyse is needed to prove the diagnosis. "the extreme rapidity of roentgenographic progression of parenchymal consolidation invariably leads to a suspicion of acute pneumonia and lung biopsy is usually necessary to establish the true nature of the process" Fraser.
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