Utility of high-resolution computed tomography in differentiating diffuse parenchymal lung diseases
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 11
Abstract
Background: High resolution computed tomography (HRCT) scanning is currently the most accurate non-invasive modality for evaluating the lungparenchyma. It is particularly helpful in the evaluation of DPLD, as clinical presentation and histopathologic patterns can show significant overlap and there can be significant heterogeneity of disease throughout the lung. Aim: To evaluate performance of HRCT to differentiate diffuse parenchymal lung diseases. Material and Methods: The study group included a total of 60 patients with suspected clinical diagnoses of diffuse parenchymal lung disease. Contrast enhanced spiral axial computed tomographic scans of the chest were obtained in each patient on Siemens Somatom Emotions 6spiral CT scanner. Results: The most commonly identified diffuse parenchymal lung disease was idiopathic pulmonary fibrosis (including chronic interstitialpneumonias) comprising 31.6% of the total cases. The next most common group was of patients with tuberculosis including miliary tuberculosis that comprised 16.67% of the total cases. Conclusion: High resolution computed-tomography is an invaluable tool in the diagnosis and characterization of diffuse parenchymal lung disease in an appropriate clinical setting.
Authors and Affiliations
Vinayak Tonne, Ashok Kumar, Vishwanath Kumbar
Keywords
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