Scleroderma CT: Difference between revisions
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{{Scleroderma}} | {{Scleroderma}} | ||
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==Overview== | ==Overview== | ||
==CT== | [[High-resolution CT|High-resolution CT (HRCT) scan]] of the chest may be helpful in the diagnosis of scleroderma [[interstitial lung disease]] and [[pulmonary hypertension]]. Findings on [[HRCT]] suggestive of [[interstitial lung disease]] include architectural distortion due to [[pulmonary fibrosis]], reticular interlobular [[interstitial]] thickening, increased ground glass opacity and accentuated reticular markings on juxtapleural, [[posterior]] and basilar portion of the [[lungs]], traction [[bronchiectasis]] and honeycomb cystic change. | ||
< | ==CT scan== | ||
[[High-resolution CT|High-resolution CT (HRCT) scan]] of the chest may be helpful in the diagnosis of scleroderma [[interstitial lung disease]] and [[pulmonary hypertension]]. Findings on [[CT scan]] suggestive of [[interstitial lung disease]] include:<ref name="pmid9314990">{{cite journal |vauthors=Swensen SJ, Aughenbaugh GL, Myers JL |title=Diffuse lung disease: diagnostic accuracy of CT in patients undergoing surgical biopsy of the lung |journal=Radiology |volume=205 |issue=1 |pages=229–34 |date=October 1997 |pmid=9314990 |doi=10.1148/radiology.205.1.9314990 |url=}}</ref><ref name="pmid9225401">{{cite journal |vauthors=Müller NL, Coiby TV |title=Idiopathic interstitial pneumonias: high-resolution CT and histologic findings |journal=Radiographics |volume=17 |issue=4 |pages=1016–22 |date=1997 |pmid=9225401 |doi=10.1148/radiographics.17.4.9225401 |url=}}</ref><ref name="pmid18641099">{{cite journal |vauthors=Goldin JG, Lynch DA, Strollo DC, Suh RD, Schraufnagel DE, Clements PJ, Elashoff RM, Furst DE, Vasunilashorn S, McNitt-Gray MF, Brown MS, Roth MD, Tashkin DP |title=High-resolution CT scan findings in patients with symptomatic scleroderma-related interstitial lung disease |journal=Chest |volume=134 |issue=2 |pages=358–367 |date=August 2008 |pmid=18641099 |doi=10.1378/chest.07-2444 |url=}}</ref><ref name="pmid2389033">{{cite journal |vauthors=Schurawitzki H, Stiglbauer R, Graninger W, Herold C, Pölzleitner D, Burghuber OC, Tscholakoff D |title=Interstitial lung disease in progressive systemic sclerosis: high-resolution CT versus radiography |journal=Radiology |volume=176 |issue=3 |pages=755–9 |date=September 1990 |pmid=2389033 |doi=10.1148/radiology.176.3.2389033 |url=}}</ref> | |||
*Architectural distortion due to [[pulmonary fibrosis]] | |||
*Reticular interlobular [[interstitial]] thickening | |||
*Increased ground glass opacity and accentuated reticular markings on juxtapleural, [[posterior]] and basilar portion of the [[lungs]] | |||
*Traction [[bronchiectasis]] | |||
*Honeycomb cystic change | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
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Latest revision as of 13:10, 23 April 2018
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Scleroderma CT On the Web |
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American Roentgen Ray Society Images of Scleroderma CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]
Overview
High-resolution CT (HRCT) scan of the chest may be helpful in the diagnosis of scleroderma interstitial lung disease and pulmonary hypertension. Findings on HRCT suggestive of interstitial lung disease include architectural distortion due to pulmonary fibrosis, reticular interlobular interstitial thickening, increased ground glass opacity and accentuated reticular markings on juxtapleural, posterior and basilar portion of the lungs, traction bronchiectasis and honeycomb cystic change.
CT scan
High-resolution CT (HRCT) scan of the chest may be helpful in the diagnosis of scleroderma interstitial lung disease and pulmonary hypertension. Findings on CT scan suggestive of interstitial lung disease include:[1][2][3][4]
- Architectural distortion due to pulmonary fibrosis
- Reticular interlobular interstitial thickening
- Increased ground glass opacity and accentuated reticular markings on juxtapleural, posterior and basilar portion of the lungs
- Traction bronchiectasis
- Honeycomb cystic change
References
- ↑ Swensen SJ, Aughenbaugh GL, Myers JL (October 1997). "Diffuse lung disease: diagnostic accuracy of CT in patients undergoing surgical biopsy of the lung". Radiology. 205 (1): 229–34. doi:10.1148/radiology.205.1.9314990. PMID 9314990.
- ↑ Müller NL, Coiby TV (1997). "Idiopathic interstitial pneumonias: high-resolution CT and histologic findings". Radiographics. 17 (4): 1016–22. doi:10.1148/radiographics.17.4.9225401. PMID 9225401.
- ↑ Goldin JG, Lynch DA, Strollo DC, Suh RD, Schraufnagel DE, Clements PJ, Elashoff RM, Furst DE, Vasunilashorn S, McNitt-Gray MF, Brown MS, Roth MD, Tashkin DP (August 2008). "High-resolution CT scan findings in patients with symptomatic scleroderma-related interstitial lung disease". Chest. 134 (2): 358–367. doi:10.1378/chest.07-2444. PMID 18641099.
- ↑ Schurawitzki H, Stiglbauer R, Graninger W, Herold C, Pölzleitner D, Burghuber OC, Tscholakoff D (September 1990). "Interstitial lung disease in progressive systemic sclerosis: high-resolution CT versus radiography". Radiology. 176 (3): 755–9. doi:10.1148/radiology.176.3.2389033. PMID 2389033.