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A reduction in the size of one side of the chest (hemithorax) on an X-ray or CT scan of the chest suggests chronic scarring. [6] Signs of the underlying disease causing the fibrothorax are also occasionally seen on the X-ray. [6] A CT scan may show features similar to those seen on a plain X-ray. [7]
Chest discomfort, including chest pain; Loss of appetite and rapid weight loss; Pulmonary fibrosis is suggested by a history of progressive shortness of breath with exertion. Sometimes fine inspiratory crackles can be heard at the lung bases on auscultation. A chest X-ray may not be abnormal, but high-resolution CT will often show abnormalities.
CT scan in a patient with usual interstitial pneumonia, showing interstitial thickening, architectural distortion, honeycombing and bronchiectasis.. In radiology, honeycombing or "honeycomb lung" is the radiological appearance seen with widespread pulmonary fibrosis [1] and is defined by the presence of small cystic spaces with irregularly thickened walls composed of fibrous tissue.
Chest radiography is usually the first test to detect interstitial lung diseases, but the chest radiograph can be normal in up to 10% of patients, especially early in the disease process. [17] [18] High-resolution CT of the chest is the preferred modality and differs from routine CT of the chest. Conventional (regular) CT chest examines 7–10 ...
Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis, or a neoplastic process. [1]
Chest X-rays are useful in the follow-up routine of IPF patients. Plain chest X-rays are unfortunately not diagnostic but may reveal decreased lung volumes, typically with prominent reticular interstitial markings near the lung bases. [3] A chest radiograph of a patient with IPF.
The differential diagnosis includes other types of lung disease that cause similar symptoms and show similar abnormalities on chest radiographs. Some of these diseases cause fibrosis, scarring or honeycomb change. The most common considerations include: chronic hypersensitivity pneumonitis; non-specific interstitial pneumonia; sarcoidosis
Causes of Kerley B lines include pulmonary edema, lymphangitis carcinomatosa and malignant lymphoma, viral and mycoplasmal pneumonia, interstitial pulmonary fibrosis, pneumoconiosis, and sarcoidosis. They can be an evanescent sign on the chest x-ray of a patient in and out of heart failure.