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THORACIC INVOLVEMENT IN CONNECTIVE TISSUE DISEASES: RADIOLOGICAL PATTERNS AND FOLLOW-UP.

G Serra, A L Brun, P Ialongo

    JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
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    Summary

    Connective tissue diseases (CTDs) frequently affect the chest, with chest CT scans crucial for diagnosis. Early detection of interstitial lung disease and pulmonary arterial hypertension in CTDs improves patient outcomes.

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    Area of Science:

    • Rheumatology
    • Pulmonology
    • Radiology

    Background:

    • Connective tissue diseases (CTDs) are inflammatory conditions affecting multiple organs.
    • Thoracic involvement is common in CTDs, necessitating advanced imaging.
    • Interstitial lung disease (ILD) and pulmonary arterial hypertension (PAH) are key complications.

    Purpose of the Study:

    • To review typical and atypical chest CT findings in thoracic involvement related to CTDs.
    • To focus on the characteristic imaging features of interstitial lung disease in CTDs.

    Main Methods:

    • Review of relevant literature on CTDs and thoracic manifestations.
    • Analysis of chest CT imaging characteristics associated with CTDs.
    • Emphasis on differentiating features of interstitial lung disease.

    Main Results:

    • Chest CT is the primary imaging modality for assessing thoracic involvement in CTDs.
    • Common pulmonary abnormalities include ILD and PAH.
    • Specific CT features can help identify CTD-related lung disease.

    Conclusions:

    • Early identification of thoracic involvement in CTDs is vital for prognosis.
    • Understanding CT features of ILD in CTDs aids timely diagnosis and treatment.
    • Chest CT plays a critical role in managing patients with CTDs and lung complications.