Assessment of persistent pulmonary infiltrate

Última revisão: 23 Sep 2025
Última atualização: 15 Aug 2025

Resumo

Diagnósticos diferenciais

comuns

  • Community-acquired pneumonia (non-resolving)
  • Atypical pneumonia (non-resolving)
  • Hospital-acquired pneumonia (non-resolving)
  • Empyema
  • Lung abscess
  • Lung cancer (metastatic)
  • Small cell lung cancer
  • Non-small cell lung cancer
  • Tuberculosis
  • Aspiration pneumonia
  • HIV infection
  • Pneumocystis jiroveci pneumonia (non-resolving)
  • Pulmonary embolism
  • Cardiogenic pulmonary oedema
Detalhes completos

Incomuns

  • Foreign body aspiration
  • Sarcoidosis
  • Interstitial lung disease
  • Organising pneumonia
  • Systemic lupus erythematosus
  • Rheumatoid arthritis
  • Scleroderma
  • Dermatomyositis
  • Polymyositis
  • Sjogren's syndrome
  • Asbestosis
  • Silicosis
  • Lymphoma and acute leukaemia
  • Kaposi's sarcoma
  • Diffuse alveolar haemorrhage
  • Systemic vasculitis
  • Granulomatosis with polyangiitis (formerly known as Wegener's granulomatosis)
  • Churg-Strauss syndrome
  • Allergic bronchopneumonic aspergillosis
  • Loeffler's syndrome
  • Hypersensitivity pneumonia (extrinsic allergic alveolitis)
  • Acute idiopathic eosinophilic pneumonia
  • Idiopathic chronic eosinophilic pneumonia
  • Drug-induced infiltrate
  • Cocaine use disorder
  • Radiation pneumonitis
  • Amyloidosis
  • Langerhans cell histiocytosis
  • Lymphangioleiomyomatosis
  • Lipoid pneumonia
  • Pulmonary alveolar proteinosis
Detalhes completos

Colaboradores

Autores

Athanasia Pataka, MD

Respiratory Physician

Aristotle University

Thessaloniki

Greece

Declarações

AP declares that she has no competing interests.

Agradecimentos

Dr Athanasia Pataka would like to gratefully acknowledge Dr Paraskevi Argyropoulou-Pataka, a previous contributor to this topic.

Declarações

PAP declares that she has no competing interests.

Revisores

Cristine Radojicic, MD

Staff Physician

Cleveland Clinic

Cleveland

OH

Declarações

CR declares that she has no competing interests.

Mathina Darmalingam, MBChB, FCP

Clinical Lead in Respiratory Medicine

Whipps Cross University Hospital

NHS Trust

London

UK

Disclosures

MD declares that she has no competing interests.

Ioannis P. Kioumis, MD, PhD

Assistant Professor

Pulmonary Medicine and Infectious Diseases

Pulmonary Medicine Clinic

Aristotle University

Thessaloniki

Greece

Disclosures

IPK declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Woodhead M, Blasi F, Ewig S, Garau J, et al. Guidelines for the management of adult lower respiratory tract infections - full version. Clin Microbiol Infect. 2011 Nov;17 (Suppl 6):E1-59.Full text  Abstract

Metlay JP, Waterer GW, Long AC, et al. Diagnosis and treatment of adults with community-acquired pneumonia. An official clinical practice guideline of the American Thoracic Society and Infectious Diseases Society of America. Am J Respir Crit Care Med. 2019 Oct 1;200(7):e45-67.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Assessment of persistent pulmonary infiltrate images
  • Guidelines

    • Idiopathic pulmonary fibrosis (an update) and progressive pulmonary fibrosis in adults
    More Guidelines
  • Patient information

    Lung cancer (non-small-cell)

    Non-Hodgkin's lymphoma

    More Patient information
  • Calculators

    PERC Rule for the Assessment of Possible Pulmonary Embolism

    Pulmonary Embolism Wells Score

    More Calculators
  • padlock-lockedLog in or subscribe to access all of BMJ Best Practice

Use of this content is subject to our disclaimer