1. Obstructive Lung Disease
Asthma (Reactive airway disease)
Chronic obstructive pulmonary disease (COPD)
Emphysema (α1-antitrypsin deficiency)
Chronic bronchitis (blue bloater)
Bronchiectasis (CF, post-infectious, Kartagener’s)
Cystic Fibrosis (ΔF508, Pseudomonas, pancreatic insufficiency)
2. Restrictive Lung Disease
Idiopathic Pulmonary Fibrosis (UIP pattern, Velcro crackles)
Sarcoidosis (Non-caseating granulomas, Löfgren’s syndrome)
Hypersensitivity Pneumonitis (Farmer’s lung, bird fancier’s)
Asbestosis (Pleural plaques, ferruginous bodies)
Silicosis (Eggshell calcifications, TB risk)
Coal Worker’s Pneumoconiosis (PMF, Caplan syndrome)
3. Infections
Community-Acquired Pneumonia (S. pneumoniae, Mycoplasma)
Hospital-Acquired Pneumonia (Pseudomonas, MRSA)
Aspiration Pneumonia (Anaerobic microbes, right lower lobe)
Tuberculosis (Caseating granulomas, PPD+/IGRA+)
Atypical pneumonia (Legionella, Chlamydia, Mycoplasma pneumoniae)
4. Infections - Fungal
Pneumocystis jirovecii (PJP) (HIV, CD4 <200, ground-glass)
Endemic Mycosis (Histo/Cocci/Blasto)
5. Vascular
Pulmonary Embolism (Wells criteria, D-dimer, CT angio)
Pulmonary Hypertension (Right heart failure, cor pulmonale)
Wegener’s Granulomatosis (GPA) (c-ANCA, necrotizing granulomas)
Goodpasture Syndrome (Anti-GBM, linear IgG)
Churg-Strauss Syndrome (Eosinophilia, p-ANCA, asthma)
6. Neoplastic
Squamous Cell Carcinoma (Central, PTHrP → hyperCa)
Small Cell Carcinoma (Central, paraneoplastic syndromes)
Adenocarcinoma (Peripheral, EGFR mutations)
Large Cell Carcinoma (Peripheral, rapid growth)
Bronchial Carcinoid (Central, 5-HIAA, carcinoid syndrome)
Mesothelioma (Asbestos, pleural thickening)
7. Pleural Disease
Pneumothorax (Primary vs. secondary, tension)
Pleural Effusion (Transudate vs. exudate, Light’s criteria)
Empyema (pH <7.2, pus, loculations)
Hemothorax (Trauma, rib fractures)
8. Interstitial Lung Disease (ILD)
NSIP (Non-specific interstitial pneumonia)
COP (BOOP) (Cryptogenic organizing pneumonia)
LAM (Lymphangioleiomyomatosis, women, mTOR)
Pulmonary Langerhans Cell Histiocytosis (Smokers, cystic changes)
9. Pediatric
Bronchopulmonary Dysplasia (Prematurity, O2 toxicity)
RSV Bronchiolitis (Wheezing, infants)
Croup (Barking cough, steeple sign)
Epiglottitis (H. influenzae, thumbprint sign)
10. Sleep Disorders
Obstructive Sleep Apnea (Obesity, AHI >5)
Obesity Hypoventilation Syndrome (BMI >30, ↑PaCO₂)
11. Trauma/Toxic
ARDS (Diffuse alveolar damage, PaO₂/FiO₂ <300)
Smoke Inhalation (CO poisoning, cyanide toxicity)
Nitrogen Narcosis (Deep-sea divers)
High-Altitude Pulmonary Edema (Rapid ascent, hypoxia)
12. Miscellaneous
Atelectasis (Post-op, fever, elevated hemidiaphragm)
Bronchiolitis Obliterans (Post-transplant, popcorn lung)
Pulmonary Alveolar Proteinosis (Milky BAL, GM-CSF Ab)
Amyloidosis (AL type, tracheobronchial deposits)