TABLE 1

Childhood interstitial lung disease diagnostic assessment based on computed tomography scan pattern

Elementary lesionsDistributionSuspected diagnoses
GGODense, diffuseInherited surfactant disorders
GGO, peripheral traction cystsDiffuseInherited surfactant disorders
GGO, peripheral and/or parenchymal traction cysts, traction bronchiectasis, reticulationsInherited surfactant disorders (older age); autoinflammatory disorders
Diffuse (sometimes ill-defined centrilobular) nodules, diffuse GGO ± alveolar consolidationPatchyDiffuse alveolar haemorrhage
GGO, cysts, honeycombing and reticulationsPeripheralConnective tissue diseases, systemic and autoimmune diseases
GGOParamediastinal, paracardial, middle lobe, lingula (usual); others (aberrant)Persistent tachypnoea of infancy/neuroendocrine cell hyperplasia of infancy
GGO and air trappingCentrilobularHypersensitivity pneumonitis
Reversed halo signOrganising pneumonia
Crazy pavingMore intense in lower lobesPulmonary alveolar proteinosis
Micronodules, hilar lymphadenopathiesLymphatic distributionSarcoidosis
Centrilobular nodulesDiffuseHypersensitivity pneumonitis

GGO: ground-glass opacities.