Alveolar filling process refers to the disease that mainly affects the term
inal airspaces. Airspace filling processes are characterized on CT by the p
resence of one or more fairly homogeneous segmental, subsegmental, or lobul
ar areas of consolidation with little or no volume loss. Acinar nodules and
poorly defined centrilobular nodules are associated frequently. Many disea
ses can present with alveolar filling disorders. It may be impossible to ma
ke a definite diagnosis for the disorders with high-resolution CT (HRCT) fi
ndings alone. Integration of HRCT findings with time factors including both
evolution and resolution of the disease, and clinical and laboratory findi
ngs, however, may provide helpful clues to reach a reasonable diagnosis. HR
CT also plays a useful role in determining the extent of a primary disease
and in identifying accompanying abnormalities and complications of the dise
ase.