Systemic lupus erythematosus x ray: Difference between revisions
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![[Pleural effusion]] | ![[Pleural effusion]] | ||
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* Lateral decubitus | * Lateral decubitus view: | ||
** | ** Visible small amounts of fluid layering against the dependent [[parietal pleura]] | ||
* PA and AP CXR: | * PA and AP CXR: | ||
** Blunting of the [[costophrenic angle]] | ** Blunting of the [[costophrenic angle]] | ||
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![[Mitral stenosis]] | ![[Mitral stenosis]] | ||
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*[[Cardiomegaly | *[[Cardiomegaly]] | ||
*Double right heart border (enlarged [[left atrium]] and normal [[right atrium]]) | *Double right heart border (enlarged [[left atrium]] and normal [[right atrium]]) | ||
*Prominent [[left atrial]] appendage | *Prominent [[left atrial]] appendage | ||
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=== Less common | === Less common findings === | ||
{| class="wikitable" | {| class="wikitable" | ||
! style="background: #4479BA; color: #FFFFFF; " |Organ | ! style="background: #4479BA; color: #FFFFFF; " |Organ | ||
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*Dilated [[bowel]] loops with or without the presence of fluid levels | *Dilated [[bowel]] loops with or without the presence of fluid levels | ||
* | *Upright [[chest]] radiographs for [[perforation]] evaluating | ||
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[[File:Colonic-pseudo-obstruction-ogilvies-syndrome.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | [[File:Colonic-pseudo-obstruction-ogilvies-syndrome.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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* Enlargement of liver silhouette | * Enlargement of liver silhouette | ||
* | * Medially displaced bowel loops | ||
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[[File:Hepatomegaly-on-abdominal-x-ray.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | [[File:Hepatomegaly-on-abdominal-x-ray.jpg|thumb|300px|<SMALL><SMALL>''[https://radiopaedia.org/ Adapted from Radiopaedia]''</SMALL></SMALL>]] | ||
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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 | *[[Hampton's hump|Hampton hump]]: Peripheral wedge of airspace opacity and implied [[lung infarction]] | ||
*[[Westermark sign]]: Regional oligoemia | *[[Westermark sign]]: Regional oligoemia | ||
*[[Pleural effusion]] | *[[Pleural effusion]] | ||
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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 with 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]] | ||
Revision as of 15:06, 4 August 2017
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Systemic lupus erythematosus Microchapters |
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Differentiating Systemic lupus erythematosus from other Diseases |
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Diagnosis |
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Systemic lupus erythematosus x ray On the Web |
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American Roentgen Ray Society Images of Systemic lupus erythematosus x ray |
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Directions to Hospitals Treating Systemic lupus erythematosus |
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Risk calculators and risk factors for Systemic lupus erythematosus x ray |
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: thumb printing sign in the abdominal graphy, blunting of the costophrenic angle due to pleural effusion, cardiomegaly, hepatomegaly, osteoprosis, tenosinovitis, and other manifestations based on the complications.
X Ray
Findings on an X ray imaging for systemic lupus erythematosus (SLE) depends on the organ system involvement and may include the following features.[1][2][3][4][5][6][7][8][9][10][11][12]
More common findingss
| Organ | Disease | Description | Preview |
|---|---|---|---|
| Gastrointestinal system | Enteritis |
|
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| Pulmonary involvement | Pleural effusion |
|
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| Pulmonary fibrosis |
 | ||
| Pulmonary hypertension |
|
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| Acute pneumonitis |
|
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| Cardiac involvement | Cardiomegaly |
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| Mitral stenosis |
| ||
| Musculoskeletal involvement | Arthritis |
|
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| Osteoporosis |
|
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Less common findings
| Organ | Disease | Description | Preview |
|---|---|---|---|
| Gastrointestinal system | Intestinal pseudo-obstruction |
|
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| Autosplenectomy |
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| Hepatomegaly |
|
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| Pulmonary involvement | Respiratory muscle dysfunction |
|
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| Pulmonary hemorrhage |
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| Pulmonary emboli |
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| Shrinking lung syndrome |
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| Cardiac involvement | Mitral regurgitation |
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| Pericardial effusion |
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| Musculoskeletal involvement | Osteonecrosis (Avascular necrosis) |
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References
- ↑ Appenzeller S (2013). "Magnetic resonance imaging in systemic lupus erythematosus: where do we stand?". Cogn Behav Neurol. 26 (2): 53–4. doi:10.1097/WNN.0b013e31829d5b60. PMID 23812167.
- ↑ Thurman JM, Serkova NJ (2015). "Non-invasive imaging to monitor lupus nephritis and neuropsychiatric systemic lupus erythematosus". F1000Res. 4: 153. doi:10.12688/f1000research.6587.2. PMC 4536614. PMID 26309728.
- ↑ Lin K, Lloyd-Jones DM, Li D, Liu Y, Yang J, Markl M, Carr JC (2015). "Imaging of cardiovascular complications in patients with systemic lupus erythematosus". Lupus. 24 (11): 1126–34. doi:10.1177/0961203315588577. PMC 4567427. PMID 26038342.
- ↑ Sarbu N, Bargalló N, Cervera R (2015). "Advanced and Conventional Magnetic Resonance Imaging in Neuropsychiatric Lupus". F1000Res. 4: 162. doi:10.12688/f1000research.6522.2. PMC 4505788. PMID 26236469.
- ↑ Qin H, Guo Q, Shen N, Huang X, Wu H, Zhang M, Bao C, Chen S (2014). "Chest imaging manifestations in lupus nephritis". Clin. Rheumatol. 33 (6): 817–23. doi:10.1007/s10067-014-2586-2. PMID 24696368.
- ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part II: gastrointestinal, renal, and musculoskeletal manifestations". Clin Radiol. 68 (2): 192–202. doi:10.1016/j.crad.2012.06.109. PMID 22901453.
- ↑ Gal Y, Twig G, Mozes O, Greenberg G, Hoffmann C, Shoenfeld Y (2013). "Central nervous system involvement in systemic lupus erythematosus: an imaging challenge". Isr. Med. Assoc. J. 15 (7): 382–6. PMID 23943987.
- ↑ Shirato M, Hisa N, Fujikura Y, Ohkuma K, Kutsuki S, Hiramatsu K (1992). "[Imaging diagnosis of lupus enteritis--especially about sonographic findings]". Nihon Igaku Hoshasen Gakkai Zasshi (in Japanese). 52 (10): 1394–9. PMID 1448334.
- ↑ Adachi JD, Lau A (2014). "Systemic lupus erythematosus, osteoporosis, and fractures". J. Rheumatol. 41 (10): 1913–5. doi:10.3899/jrheum.140919. PMID 25275093.
- ↑ Curiel R, Akin EA, Beaulieu G, DePalma L, Hashefi M (2011). "PET/CT imaging in systemic lupus erythematosus". Ann. N. Y. Acad. Sci. 1228: 71–80. doi:10.1111/j.1749-6632.2011.06076.x. PMID 21718325.
- ↑ Goh YP, Naidoo P, Ngian GS (2013). "Imaging of systemic lupus erythematosus. Part I: CNS, cardiovascular, and thoracic manifestations". Clin Radiol. 68 (2): 181–91. doi:10.1016/j.crad.2012.06.110. PMID 22901452.
- ↑ 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.