Thoracic imaging finding of rheumatic diseases

J Thorac Dis. 2020 Sep;12(9):5110-5118. doi: 10.21037/jtd.2020.04.16.

Abstract

In the era of Precision Medicine, diagnostic imaging plays a key role in initial diagnosis and treatment response assessment in thoracic manifestation of various rheumatic disorders; resulting in increased dependency on imaging for treatment planning. Chest radiographs serve as a good initial screening tool for assessment of emergent and urgent thoracic conditions, e.g., pneumothorax, pulmonary edema, consolidation and pleural effusions. Cross-sectional imaging techniques, e.g., computed tomography (CT) and positron emission tomography-computed tomography (PET-CT) are most commonly utilized to evaluate more detailed pulmonary and mediastinal manifestations of rheumatic conditions. Magnetic resonance imaging (MRI) and ultrasound are most commonly used in cardiovascular, neural and musculoskeletal structures. This review article aims to highly key common thoracic imaging findings of rheumatic disorders, highlighting imaging test of choice for the particular disorder.

Keywords: Rheumatology; giant cell arteritis (GCA); granulomatosis with polyangiitis (GPA); microscopic polyangiitis (MPA); radiology; rheumatoid arthritis; sarcoidosis.

Publication types

  • Review