Reverse Pulmonary Oedema

(redirected from Peripheral Consolidation)
A term referring to bilateral peripheral airspace disease mainly of the upper lobes with parenchymal sparing of the central lung. It classically occurs in chronic eosinophilic pneumonia (pulmonary infiltrates with eosinophilia) and is apparent in 60% of cases
DiffDx Cryptogenic organizing pneumonia (idiopathic bronchiolitis obliterans organizing pneumonia), less commonly, pneumonia, acute respiratory distress syndrome, sarcoidosis, bronchioloalveolar carcinoma
References in periodicals archive ?
Less frequently cavities within the peripheral consolidation may be observed.
Several patterns have been described, including wedge-shaped areas of peripheral consolidation abutting the pleura and mimicking pulmonary infarcts, peribronchoarterial distribution of consolidation, focal consolidation (with or without cavitation), parenchymal bands, and diffuse bilateral areas of ground-glass opacification, which represent diffuse pulmonary hemorrhage.
Together with clinical findings, multiple peripheral cavitating nodules and wedge shaped peripheral consolidations are highly suggestive of the diagnosis of SPE (1), (3), (4).
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