Volume : VIII, Issue : VI, June - 2018

REVIEW OF LUNG PARENCHYMAL DISEASE BY HRCT CHEST

Dr Nilesh Gupta, Dr V R K Rao

Abstract :

1.    AIM:

To look for region specific patterns, extent, progression and treatment response of lung diseases as well as correlation of PFT with HRCT chest findings.

2.    METHOD:

HRCT chest were performed in symptomatic or CXR positive 100 patients in 1year period.  1 mm slice thickness, 10 mm interval in eath holding, high KV &mAs were kept for acquisition. Expiratory phase in suspected air trapping. 30 patients underwent PFT & few underwent BAL and biopsy.

3.    RESULTS:

Of the 100 patients, 5 % of were kids. Tuberculosis was the most common cause on HRCT. Air space pathology in 40 %. The most frequent HRCT pattern in ILD was ground glassing in 20 %, followed by a reticular pattern in 7 %. Nodular pattern was randomly distributed in 3 %. Mixed reticulo–nodular pattern of disease seen in 4 %. Symmetrical distribution in 80 % of the patients.  Lower zone predominance in 75 %. HRCT was normal in 25 %. 7 % had malignancy. Vasculitis were seen in 6%. Adenopathy was found in 17 %. Out of 30 PFT, 28 patients were positive.  4 patients had restrictive, 1 patient had obstructive pattern and rest showed mixed findings. Post onchodilator reversibility in 20 patients & 8 were irreversible due to IPF.

4.    CONCLUSION:

HRCT is most accurate non–invasive gold standard test for evaluating lung parenchyma, diagnosing ILD, detecting the activity, distinguishing types of Pneumonitis, planning treatment, assessing prognosis, scoring of IPF and deciding assisted biopsy.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Nilesh Gupta, Dr V R K Rao, REVIEW OF LUNG PARENCHYMAL DISEASE BY HRCT CHEST, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-6 | June-2018

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