Table 4 Causes of cavitating lung lesions
CauseExamples
InfectionBacteria e.g. Actinomyces spp., Nocardia spp., Mycobacterium spp.; Fungi e.g. Aspergillus spp., Cryptococcus spp., pneumocystosis; Parasites e.g. Echinococcus spp.
 Pneumonia
 Lung abscess
 Septic (metastatic) embolism
Autoimmune diseaseGranulomatosis with polyangiitis
Sarcoidosis
Rheumatoid arthritis
Ankylosing spondylitis
Systemic lupus erythematosus
MalignancyPrimary lung cancer, mostly squamous cell
Lymphoma
Lung metastasis
Kaposi’s sarcoma
Congenital abnormality/acquired lung diseaseBronchogenic cyst
Histiocytosis X (langerhans histiocytosis)
Lymphangioleiomyomatosis
Vascular diseasePulmonary embolism (septic or aseptic)
BOOP/COPDue to e.g. medication, radiotherapy or autoimmune disease
  • Data from [6]. BOOP: bronchiolitis obliterans organising pneumonia; COP: cryptogenic organising pneumonitis.