TO STUDY THE SIGNIFICANCE OF HRCT OVER CHEST X- RAY IN THE DIAGNOSIS OF INTERSTITIAL LUNG DISEASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 2
Abstract
BACKGROUND Interstitial lung disease (ILD) is a heterogeneous group of diffuse parenchymal lung diseases, characterized by restrictive physiology, impaired gas exchange, pulmonary inflammation and fibrosis. Chest radiograph (CXR) may be normal during early in the course of the disease and shows few abnormalities hence unable to identify the specific aetiology of ILD. HRCT (High resolution computed tomography) is the most accurate non-invasive, high spatial resolution descriptive imaging modality for evaluation of lung parenchyma. It assesses the presence of disease in lung, type of disease, changes of active lung disease, biopsy site localization, change in disease activity following treatment, characterization of interstitial lung disease (ILD) in appropriate clinical setting. MATERIALS AND METHODS The descriptive study was conducted on 40 patients having clinical suspicion of ILD in the Department of Tuberculosis and Chest Diseases, Varun Arjun Medical College and Hospital, Banthra & Department of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly, during the period of January 2018 to August 2018. RESULTS In this study, the age of the patients ranged from 30 to 74 years. There were 65% male patients and 35% female patients. The most common presenting clinical feature was exertional dyspnoea present in 65% of patients followed by a cough which was present in 56% of cases. The spectrum of diseases included in the study was: Idiopathic pulmonary fibrosis (25%), hypersensitivity pneumonitis (17.5%), sarcoidosis (15%), rheumatoid arthritis (10%), silicosis (10%), LAM (7.5%), allergic bronchopulmonary aspergillosis (5 %) and lymphangitis carcinomatosis (5 %), COP (5%). CONCLUSION HRCT of the lung in cases of the suspected interstitial lung diseases forms an invaluable tool for accurate and early identification and in conjunction with the clinical findings can obviate the need of lung biopsy in diagnosis of ILD’s.
Authors and Affiliations
Manoj Kumar Agrawal, Amit Kumar, Rajesh Agrawal, Rishi Rana
Keywords
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- EP ID EP553060
- DOI 10.14260/jemds/2019/21
- Views 89
- Downloads 0
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