Churg-Strauss syndrome CT

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Ali Poyan Mehr, M.D. [2]Associate Editor(s)-in-Chief: Chandrakala Yannam, MD [3]

Overview

On high-resolution computerized tomography (HRCT) scan, eosinophilic granulomatosis with polyangiitis will show airspace consolidation, ground-glass opacities, centrilobular nodules, bronchial wall thickening and/or dilatation, pleural effusions, and hilar or mediastinal lymph node enlargement.

CT scan

High-resolution computerized tomography (HRCT) scan of patients with eosinophilic granulomatosis with polyangiitis will show the following findings:[1][2][3]

  • Airspace consolidations mostly bilateral and lobular distribution
  • Ground-glass opacities, can be seen in a patchy or subpleural distribution, with inclination most commonly occurring in the lower zone portion of the lung
  • Centrilobular nodules
  • Bronchial wall thickening and/or dilatation
  • Pleural effusions
  • Hilar or mediastinal lymph node enlargement
  • Interlobular septal thickening
  • Areas of atelectasis


References

  1. Szczeklik W, Sokołowska B, Mastalerz L, Grzanka P, Górka J, Pacułt K, Miszalski-Jamka T, Soja J, Musiał J (October 2010). "Pulmonary findings in Churg-Strauss syndrome in chest X-rays and high resolution computed tomography at the time of initial diagnosis". Clin. Rheumatol. 29 (10): 1127–34. doi:10.1007/s10067-010-1530-3. PMID 20623310.
  2. Silva CI, Müller NL, Fujimoto K, Johkoh T, Ajzen SA, Churg A (May 2005). "Churg-Strauss syndrome: high resolution CT and pathologic findings". J Thorac Imaging. 20 (2): 74–80. PMID 15818205.
  3. Feng RE, Xu WB, Shi JH, Mahmoudi A, Mu WB, Zheng WJ, Zhu YJ, Liu HR (March 2011). "Pathological and high resolution CT findings in Churg-Strauss syndrome". Chin. Med. Sci. J. 26 (1): 1–8. PMID 21496416.