Systemic lupus erythematosus x ray: Difference between revisions

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|[[Respiratory failure|Respiratory muscle dysfunction]]<ref name="pmid11571369">{{cite journal |vauthors=Rockall AG, Rickards D, Shaw PJ |title=Imaging of the pulmonary manifestations of systemic disease |journal=Postgrad Med J |volume=77 |issue=912 |pages=621–38 |year=2001 |pmid=11571369 |pmc=1742125 |doi= |url=}}</ref>
|[[Respiratory failure|Respiratory muscle dysfunction]]<ref name="pmid11571369">{{cite journal |vauthors=Rockall AG, Rickards D, Shaw PJ |title=Imaging of the pulmonary manifestations of systemic disease |journal=Postgrad Med J |volume=77 |issue=912 |pages=621–38 |year=2001 |pmid=11571369 |pmc=1742125 |doi= |url=}}</ref>
|
|
* Elevated hemidiaphragms at [[CXR]]
*Elevated hemidiaphragms at [[CXR]]
* Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity
*Linear [[atelectasis]] and an ill-defined juxtadiaphragmatic areas of increased opacity
|-
|-
|[[Pulmonary hemorrhage]]
|[[Pulmonary hemorrhage]]
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|[[Pulmonary emboli]]
|[[Pulmonary emboli]]
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|
** [[Fleischner sign|Fleishner sign]]: Enlarged [[pulmonary artery]]
**[[Fleischner sign|Fleishner sign]]: Enlarged [[pulmonary artery]]
** [[Hampton's hump|Hampton hump]]: Peripheral wedge of airspace opacity and implies [[lung infarction]]
**[[Hampton's hump|Hampton hump]]: Peripheral wedge of airspace opacity and implies [[lung infarction]]
** [[Westermark sign]]: Regional oligoemia
**[[Westermark sign]]: Regional oligoemia
** [[Pleural effusion]]
**[[Pleural effusion]]
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|-
|Shrinking lung syndrome
|Shrinking lung syndrome
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|[[Mitral regurgitation]]
|[[Mitral regurgitation]]
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|
* [[Left atrial enlargement]]
*[[Left atrial enlargement]]
** Convexity or straightening of the [[left atrial appendage]] just below the main [[pulmonary artery]] (along left heart border)
**Convexity or straightening of the [[left atrial appendage]] just below the main [[pulmonary artery]] (along left heart border)
** Double density sign: An addition contour superimposed over the [[right heart]] due to [[Left atrial enlargement|left atrium enlargement]]
**Double density sign: An addition contour superimposed over the [[right heart]] due to [[Left atrial enlargement|left atrium enlargement]]
** Elevation of the left main [[bronchus]] and splaying of the [[carina]]
**Elevation of the left main [[bronchus]] and splaying of the [[carina]]
* Upper zone venous enlargement due to [[pulmonary hypertension]]
*Upper zone venous enlargement due to [[pulmonary hypertension]]
* Left [[ventricular]] enlargement is also eventually present due to volume overload
*Left [[ventricular]] enlargement is also eventually present due to volume overload
|-
|-
|[[Pericardial effusion]]
|[[Pericardial effusion]]
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* Globular enlargement of the cardiac shadow giving a water bottle configuration
*Globular enlargement of the cardiac shadow giving a water bottle configuration
* Lateral [[CXR]]:
*Lateral [[CXR]]:
** Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly
**Vertical opaque line ([[pericardial fluid]]) separating a vertical lucent line directly behind [[sternum]] ([[Epicardial fat pad|epicardial fat]]) anteriorly
|-
|-
| style="background: #DCDCDC; " |Musculoskeletal involvement
| style="background: #DCDCDC; " |Musculoskeletal involvement

Revision as of 15:21, 26 July 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by different features regarding the present complication. the most common characteristic findings of SLE in X ray include:

X Ray

On X ray imaging, systemic lupus erythematosus (SLE) may be characterized by the following features, based on the organ system involvement.

More common complications

Organ Disease Description
Gastrointestinal system Dysphagia
Enteritis
Pulmonary involvement Pleural effusion
Pulmonary hypertension
Acute pneumonitis
Cardiac involvement Cardiomegaly
Mitral stenosis
Musculoskeletal involvement Arthritis
Osteoporosis

Less common complications

Organ Disease Description
Gastrointestinal system Intestinal pseudo-obstruction
  • Dilated bowel loops with or without the presence of fluid levels
  • Erect chest radiographs for perforation evaluating
Autosplenectomy
  • Calcified spleen may be visible in the left upper quadrant
Pulmonary involvement Respiratory muscle dysfunction[1]
  • Elevated hemidiaphragms at CXR
  • Linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity
Pulmonary hemorrhage
  • Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs
Pulmonary emboli
Shrinking lung syndrome
Cardiac involvement Mitral regurgitation
Pericardial effusion
  • Globular enlargement of the cardiac shadow giving a water bottle configuration
  • Lateral CXR:
Musculoskeletal involvement Osteonecrosis (Avascular necrosis)
  • Initial minor osteopenia, followed by variable density
  • Gradually micro-fractures of the subchondral bone accumulate in the dead bone
  • Collapse of the articular surface
  • Crescent sign of AVN

References

  1. Rockall AG, Rickards D, Shaw PJ (2001). "Imaging of the pulmonary manifestations of systemic disease". Postgrad Med J. 77 (912): 621–38. PMC 1742125. PMID 11571369.

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