By Ellen M. Chung, Jeffrey R. Galvin, Kelly K. Koeller, Mark D. Murphey, Paula J. Woodward Angela D. Levy
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Asbestos Related Chest Disease Tuberculosis Silicosis Asbestosis Particle Deposition and Clearance Cough, tracheobronchial and alveolar transport Chest Radiology 53 Inhalational Lung Disease Pulmonary Lymphoid Disorders Jeffrey R. Galvin, MD The Pulmonary Lymphoid System • • • • • • • Lymphatics Lymph nodes BALT ➢ Bronchus Associated Lymphoid Tissue Lymphoid aggregates Lymphocytes Dendritic cells Langerhans cells Figure 1-5-1 Figure 1-5-2 The Pulmonary Lymphoid System [Figures 1-5-1 and 1-5-2] • • • • • • • Lymphatics ➢ Originate in the pleura ➢ Valves ➢ Drain towards hilum ➢ Follow interlobular septa ➢ Accompany blood vessels Lymph Nodes BALT Lymphoid aggregates Lymphocytes Dendritic cells Langerhans cells The Pulmonary Lymphoid System [Figures 1-5-3 and 1-5-4] • • • • • • • One set of lymphatics originate in the Lymphatic channels continue along the visceral pleura as demonstrated by the pulmonary veins to the hilum.