Consolidation

Question 1

What is consolidation

Answer 1

Filling of the alveolus with obscuration of the pulmonary vessels. The bronchus is visible as an air bronchogram

Question 2

Consolidation is histologically due to the complete filling of the affected alveoli with a liquid-like substance that can include?

Answer 2

1) blood
2) pus
3) water
4) cells

Question 3

Air bronchograms are often present in consolidation if

Answer 3

the airway is patent

Question 4

Differential Diagnosis of Acute Consolidation

Answer 4

(PPP)
-Pneumonia (by far the most common cause of acute consolidation)
-Pulmonary hemorrhage (primary pulmonary hemorrhage or aspiration of hemorrhage)
-Pulmonary Edema
-Acute respiratory distress syndrome (ARDS) which is
noncardiogenic pulmonary edema seen in critically ill
patients and through to be due to increased capillary
permeability
-Heart Failure

Question 5

Differential Diagnosis of Chronic Consolidation

Answer 5

BOC

• Bronchioloalveolar carcinoma mucinous subtype, a form of adenocarcinoma
• Organizing pneumonia, which is a nonspecific response to injury characterized by granulation polyps which fill the distal airways, producing peripheral rounded and nodular consolidation
• Chronic eosinophilic pneumonia an inflammatory process characterized by eosinophils causing alveolar filling in an upper lobe distribution