A study of HRCT pattern of lung diseases at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2018, Vol 5, Issue 1
Abstract
Background: Diffuse lung diseases are those in which the disease process is widespread involving all lobes of both lungs but need not affect all lung regions uniformly1. It includes acute as well as chronic diseases, having wide array of causes such as infections, inhalational, neoplastic, cardiovascular, airway abnormalities, mmunological and idiopathic. Aims and Objectives: To Study HRCT pattern of lung diseases at tertiary health care center. Methodology: A total 75 number of patients were studied with suspected diffuse lung diseases by high resolution computed tomography over a period of 18 months. Patients were selected on basis of:- Clinical history or pulmonary function test findings suggestive of diffuse lung disease. Findings of diffuse lung disease on chest radiograph. Data collected from these patients included their name, age, sex, history and relevant investigation reports. Machine used was PHILIPS TOMOSCAN AV EXPANDER. Result: Total cases included in study were 75, out of that 51 were positive for diffuse lung disease. 24 were normal. The maximum numbers of diffuse lung disease cases in our study were of interstitial lung disease, followed by infection and bronchiectasis. Most of the cases of ILD were those of idiopathic pulmonary fibrosis. Diffuse lung diseases were more common in males than females in our study. Tuberculosis was seen affecting all age groups from 21-70 years in our study. Conclusion: HRCT is the best non-invasive tool for diagnosis of diffuse lung diseases. HRCT can also be used for assessment of disease activity in patients who have chronic diffuse lung disease and in detection of active disease in some patients who have suspected diffuse lung disease who may have normal or nonspecific radiograph. The presence of disease activity is also helpful in guiding the treatment strategy. Based on the HRCT features, a histospecific diagnosis can be reached in most of the cases of diffuse lung disease obviating the need of lung biopsy.
Authors and Affiliations
Chetan S Ravi, Vikas R Lonikar, Vivek A Chaudhary
Keywords
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