Mixed connective tissue disease CT: Difference between revisions
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==CT scan== | ==CT scan== | ||
* [[Computed tomography]] may be helpful in early diagnosis of [[interstitial lung disease]].<ref name="pmid16408383">{{cite journal |vauthors=Végh J, Szilasi M, Soós G, Dévényi K, Dezso B, Soltész P, Zeher M, Szegedi G, Bodolay E |title=[Interstitial lung disease in mixed connective tissue disease] |language=Hungarian |journal=Orv Hetil |volume=146 |issue=48 |pages=2435–43 |date=November 2005 |pmid=16408383 |doi= |url=}}</ref> | * [[Computed tomography]] may be helpful in early diagnosis of [[interstitial lung disease]].<ref name="pmid16408383">{{cite journal |vauthors=Végh J, Szilasi M, Soós G, Dévényi K, Dezso B, Soltész P, Zeher M, Szegedi G, Bodolay E |title=[Interstitial lung disease in mixed connective tissue disease] |language=Hungarian |journal=Orv Hetil |volume=146 |issue=48 |pages=2435–43 |date=November 2005 |pmid=16408383 |doi= |url=}}</ref> | ||
* In MCTD, the tomographic images may show abnormalities related to interstitial lung disease, include:<ref name="pmid11292211">{{cite journal |vauthors=Kozuka T, Johkoh T, Honda O, Mihara N, Koyama M, Tomiyama N, Hamada S, Nakamura H, Ichikado K |title=Pulmonary involvement in mixed connective tissue disease: high-resolution CT findings in 41 patients |journal=J Thorac Imaging |volume=16 |issue=2 |pages=94–8 |date=April 2001 |pmid=11292211 |doi= |url=}}</ref> | |||
** ground-glass attenuation | |||
** subpleural micronodules | |||
** nonseptal linear opacities | |||
** peripheral predominance | |||
** lower lobe predominance | |||
** intralobular reticular opacities | |||
** architectural distortion | |||
** traction bronchiectasis | |||
* In MCTD, the tomographic images may show radiographic abnormalities related to interstitial lung disease and the presence of esophageal dilatation: | * In MCTD, the tomographic images may show radiographic abnormalities related to interstitial lung disease and the presence of esophageal dilatation: | ||
**Areas of increased attenuation in which the bronchi and vessels remain visible (ground glass opacities) | **Areas of increased attenuation in which the bronchi and vessels remain visible (ground glass opacities) |
Revision as of 15:39, 11 April 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
CT scan
- Computed tomography may be helpful in early diagnosis of interstitial lung disease.[1]
- In MCTD, the tomographic images may show abnormalities related to interstitial lung disease, include:[2]
- ground-glass attenuation
- subpleural micronodules
- nonseptal linear opacities
- peripheral predominance
- lower lobe predominance
- intralobular reticular opacities
- architectural distortion
- traction bronchiectasis
- In MCTD, the tomographic images may show radiographic abnormalities related to interstitial lung disease and the presence of esophageal dilatation:
- Areas of increased attenuation in which the bronchi and vessels remain visible (ground glass opacities)
- Irregularity of the interfaces between the peripheral pleura and aerated lung parenchyma or small lines perpendicular to the pleura (Interface sign)
- Septal and nonseptal lines (linear opacities)
- Bronchiolectasis or traction bronchiectasis: dilatation of the airways in the peripheral portion of the lungs
- Areas of cystic spaces (diameter <1 cm) with thickened walls (honeycombing)
- Areas of decreased attenuation and air trapping on expiratory computed tomography
- Esophageal dilatation (esophagus may be fluid filled or has an air-fluid level)
References
- ↑ Végh J, Szilasi M, Soós G, Dévényi K, Dezso B, Soltész P, Zeher M, Szegedi G, Bodolay E (November 2005). "[Interstitial lung disease in mixed connective tissue disease]". Orv Hetil (in Hungarian). 146 (48): 2435–43. PMID 16408383.
- ↑ Kozuka T, Johkoh T, Honda O, Mihara N, Koyama M, Tomiyama N, Hamada S, Nakamura H, Ichikado K (April 2001). "Pulmonary involvement in mixed connective tissue disease: high-resolution CT findings in 41 patients". J Thorac Imaging. 16 (2): 94–8. PMID 11292211.