Shrinking Lung Detected on Computed Tomography: Pictorial Essay of the Main Findings of the Image
| Autor: | Francisco Barbosa de Araújo Neto, Rita Karine Veras Gomes de Mello, Cesar Higar Nomura, Antonio Fernando Lins de Paiva, Vinícius Martins Valois, Tiago Castello Branco Lyra, Tiago Bezerra Albano, Rodrigo Caruso Chate |
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| Rok vydání: | 2018 |
| Předmět: | |
| Zdroj: | Open Journal of Medical Imaging. :17-24 |
| ISSN: | 2164-2796 2164-2788 |
| DOI: | 10.4236/ojmi.2018.82003 |
| Popis: | Shrinking lung refers to a rare complication of systemic lupus erythematosus and is characterized by unexplained dyspnea, a restrictive pattern in lung function tests, and elevation of the diaphragmatic hemicuples. It is postulated to have a predilection for female involvement and occurs mainly during late stages of the disease. Chest X-rays usually show small, diaphragmatic lungs. Occasional basal atelectasis may be present. Chest tomography usually shows reduced lung volumes with diaphragmatic elevation, occasional basal atelectasis, without severe pulmonary or pleuropulmonary disease. Shrinking lung can cause significant morbidity and occasional mortality. There is no definitive therapy, while corticosteroids may decrease symptoms and improve lung function in some patients. The objective of this study was to describe the main imaging findings in Shrinking Lung, an important pulmonary alteration in lupus patients. We highlight the characteristics observed on radiography and computed tomography, with an emphasis on computed tomography. It is important that every radiologist is prepared to recognize these findings and understand the possible clinical repercussions. |
| Databáze: | OpenAIRE |
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