Sjögren's syndrome CT: Difference between revisions

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***Nodular or mass-like consolidation with or without air bronchogram
***Nodular or mass-like consolidation with or without air bronchogram
**Follicular bronchiolitis  
**Follicular bronchiolitis  
***Centrilobular and peribronchial noduleS
***Centrilobular and peribronchial nodules
**Organizing pneumonia
***Consolidative and ground-glass opacities
***Centrilobular nodules and tree-in-bud opacities
**Pulmonary nodular amyloidosis
***Diffuse nodules
***Cystic lesions
***Focal consolidation
***Diffuse septal thickening


==References==
==References==

Revision as of 18:27, 4 April 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:

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Overview

CT

  • Parotid gland CT scan may be helpful in the diagnosis of Sjögren's syndrome. Findings on CT scan suggestive of Sjögren's syndrome include:[1][2][3]
    • Abnormal diffuse fat tissue deposition
    • Diffuse punctate calcification
  • Chest CT scan may be helpful in the diagnosis of complications of Sjögren's syndrome, which include:
    • Nonspecific interstitial pneumonia
      • Patchy ground-glass attenuation
      • Intralobular reticulation with a lower lobe predilection
    • Interstitial pneumonia pattern
      • Increased reticular markings in a basilar and peripheral distribution
      • Areas of subpleural honeycombing
    • lymphoid interstitial pneumonia pattern
      • Ground-glass attenuation
      • Centrilobular and subpleural nodules
      • Septal thickening
      • Reticular opacities
      • Bronchial/bronchiolar thickening
      • Thin-walled cysts
    • Nodular lymphoid hyperplasia
      • Nodular or mass-like consolidation with or without air bronchogram
    • Follicular bronchiolitis
      • Centrilobular and peribronchial nodules
    • Organizing pneumonia
      • Consolidative and ground-glass opacities
      • Centrilobular nodules and tree-in-bud opacities
    • Pulmonary nodular amyloidosis
      • Diffuse nodules
      • Cystic lesions
      • Focal consolidation
      • Diffuse septal thickening

References

  1. Sun Z, Zhang Z, Fu K, Zhao Y, Liu D, Ma X (October 2012). "Diagnostic accuracy of parotid CT for identifying Sjögren's syndrome". Eur J Radiol. 81 (10): 2702–9. doi:10.1016/j.ejrad.2011.12.034. PMID 22285605.
  2. Gupta N, Wikenheiser-Brokamp KA, Fischer A, McCormack FX (March 2016). "Diffuse Cystic Lung Disease as the Presenting Manifestation of Sjögren Syndrome". Ann Am Thorac Soc. 13 (3): 371–5. doi:10.1513/AnnalsATS.201511-759BC. PMC 5461998. PMID 26741500.
  3. Matsuyama N, Ashizawa K, Okimoto T, Kadota J, Amano H, Hayashi K (December 2003). "Pulmonary lesions associated with Sjögren's syndrome: radiographic and CT findings". Br J Radiol. 76 (912): 880–4. doi:10.1259/bjr/18937619. PMID 14711775.

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