Abstract

The clinical utility of bronchoalveolar lavage (BAL) for the diagnosis and management of patients with diffuse interstitial lung diseases (DILD) continues being a subject of debate and controversy. BAL is easily performed and a well-tolerated procedure. An adequate diagnostic performance requires that technique be done correctly and the sample processed properly. Nowadays, there is a lack regarding its clinical utility for patients with suspected DILD (prognostic value and determination of disease progression); however, BAL is considered an easy and valuable diagnostic tool. BAL inflammatory cell profile, together with high resolution computed tomography and other clinical data, helps to initial diagnosis and supports diagnostic suspicion on DILD.

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