Systemic lupus erythematosus x ray: Difference between revisions

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Pleural fibrosis: Pleural thickening
Pleural fibrosis: Pleural thickening


Pulmonary infarct
====== Pulmonary infarct ======
* wedge-shaped (less often rounded) juxtapleural opacification (Hampton hump) without air bronchograms
* wedge-shaped (less often rounded) juxtapleural opacification (Hampton hump) without air bronchograms
* more often in the lower lobes
* more often in the lower lobes
Pulmonary hypertension
 
===== Pulmonary hypertension =====
* elevated cardiac apex due to right ventricular hypertrophy
* elevated cardiac apex due to right ventricular hypertrophy
* enlarged right atrium
* enlarged right atrium
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* enlarged pulmonary arteries
* enlarged pulmonary arteries
* pruning of peripheral pulmonary vessels
* pruning of peripheral pulmonary vessels
mesentric vascu;itis:


==== Plumonary alveolar hemorrhage: ====
Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs
==== respiratory muscle dysfunction ====
elevated hemidiaphragms at chest radiography
linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity 
Wiedemann HP, Matthay RA. ''Pulmonary manifestations of collagen vascular diseases.Clin Chest Med'' 1989; 10:677-696
===== mesentric vascuitis: =====
Plain radiographic studies may reveal segmental bowel dilatation, air-fl uid levels, ‘thumb-printing’ or narrowing of the lumen, and pseudo-obstruction
Plain radiographic studies may reveal segmental bowel dilatation, air-fl uid levels, ‘thumb-printing’ or narrowing of the lumen, and pseudo-obstruction



Revision as of 22:23, 4 July 2017

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

Overview

X Ray

Shrinking lung (radiograph):  unexplained dyspnoea. restrictive pattern onpulmonary function tests.

Chest x-ray often shows small but clear lungs with diaphragmatic elevation. Occasional basal atelectasis may be present. 

Pleural fibrosis: Pleural thickening

Pulmonary infarct
  • wedge-shaped (less often rounded) juxtapleural opacification (Hampton hump) without air bronchograms
  • more often in the lower lobes
Pulmonary hypertension
  • elevated cardiac apex due to right ventricular hypertrophy
  • enlarged right atrium
  • prominent pulmonary outflow tract
  • enlarged pulmonary arteries
  • pruning of peripheral pulmonary vessels

Plumonary alveolar hemorrhage:

Patchy bilateral and acinar areas of increased opacity, predominantly in the lower lungs

respiratory muscle dysfunction

elevated hemidiaphragms at chest radiography

linear atelectasis and an ill-defined juxtadiaphragmatic areas of increased opacity 

Wiedemann HP, Matthay RA. Pulmonary manifestations of collagen vascular diseases.Clin Chest Med 1989; 10:677-696

mesentric vascuitis:

Plain radiographic studies may reveal segmental bowel dilatation, air-fl uid levels, ‘thumb-printing’ or narrowing of the lumen, and pseudo-obstruction

References

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