The diseases concerning the small pulmonary vessels are difficult to diagnose. Pathologic
findings are rarely limited to the small vessels, and a continuum between the involvement
of small and large vessels is frequent. Moreover, small vessels can be affected by
various disease entities with overlapping radiologic features and a wide spectrum
of clinical manifestations. Nevertheless, these various entities can be easily separated
into two different groups by imaging techniques, particularly by computed tomography:
obstructive and inflammatory diseases. Radiologic findings of obstructive diseases
are relatively constant, dominated by the manifestation of pulmonary hypertension.
In contrast, radiologic manifestations of inflammatory diseases are often florid and
nonspecific. After a recall of the classification of small vessel diseases and the
imaging techniques, we show the computed tomography features of the principal diseases
involving the small pulmonary vessels by classifying them in these two principal groups.
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Publication history
Published online: January 30, 2006
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Copyright
© 2006 Published by Elsevier Inc.