Systemic lupus erythematosus x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

X Ray

Shrinking lung (radiograph):  unexplained dyspnoea. restrictive pattern onpulmonary function tests.

Chest x-ray often shows small but clear lungs with diaphragmatic elevation. Occasional basal atelectasis may be present. 

Pleural fibrosis: Pleural thickening

Pulmonary infarct

  • wedge-shaped (less often rounded) juxtapleural opacification (Hampton hump) without air bronchograms
  • more often in the lower lobes

Pulmonary hypertension

  • elevated cardiac apex due to right ventricular hypertrophy
  • enlarged right atrium
  • prominent pulmonary outflow tract
  • enlarged pulmonary arteries
  • pruning of peripheral pulmonary vessels

mesentric vascu;itis:

Plain radiographic studies may reveal segmental bowel dilatation, air-fl uid levels, ‘thumb-printing’ or narrowing of the lumen, and pseudo-obstruction

References

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