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Indian Journal of Applied Radiology

Pictorial Essay

Imaging Spectrum of Pulmonary Lymphoma

Sawalgi VC1, Patnaik S1*, Shirsha C1, Uppin S2 and Ramachandra Varma S2

1Department of Radiology, NIMS, Hyderabad, India
2Department of Pathology, NIMS, Hyderabad, India
*Corresponding author: Patnaik S, Department of Radiology, 404 Sai Kausalya apt, Gagan mahal Main Road, Hyderabad-500029; Tel: 9490793534; Email: sujata_patnaik222@yahoo.co.in
Copyright: © 2021 Sawalgi VC, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Lung involvement in lymphoma may be primary or secondary. Primary lung involvement is rare and more usually seen in Non-Hodgkin Lymphoma. The main radiological findings of pulmonary lymphomas include- Pulmonary lesions appearing as a mass or mass like consolidation with or without cavitation or bronchogram, masses of pleural origin- single or multiple nodules of sub-centimetre size, alveolar or interstitial infiltration and peribronchial, perivascular thickening with or without atelectasis. The pulmonary lymphoma can be confused with carcinoma lung, metastases, pneumonia, organising pneumonia, fungal infection and interstitial lung disease. Imaging manifestations of primary and secondary pulmonary lymphomas may be similar. Since the treatment options of these two are different, it is necessary to differentiate primary pulmonary lymphoma (PPL) from the secondary disease (SPL). Certain characteristic features like peripheral mass, cavitation, consolidations are more common in PPL. Mediastinal and hilar-adenopathy, central, peripheral lung lesions, nodules are more observed in SPL.