|
KMID : 1103720150730040209
|
|
Journal of the Korean Society of Radiology
2015 Volume.73 No. 4 p.209 ~ p.215
|
|
|
Chest CT Findings in Patients with Non-Cardiovascular Causes of Chest Pain: Focusing on Pulmonary Tuberculosis in a Tuberculosis Endemic Country
|
|
Lee So-Won
Shim Sung-Shine
Kim Yoo-Kyung
Ryu Yon-Ju
|
|
|
Abstract
|
|
|
Purpose : To review the common causes of non-cardiovascular chest pain (NCCP) according to the location and lesion type as seen on chest CT, and to evaluate CT findings in tuberculosis (TB) as a cause of NCCP.
Materials and Methods : In the period 2009 to 2012, patients having NCCP without definitive evidence of acute myocardial infarction, pulmonary thromboembolism, and aortic dissection, were included. In total, 162 patients (60.5% male; 39.5% female), with a mean age of 51 years, were enrolled. CT images were evaluated by location and lesion type, for causes of NCCP.
Results : Chest CT revealed that the most common location for the cause of NCCP was the pleura (45.1%), followed by the subpleural lung parenchyma (30.2%). The most common lesion causing NCCP was TB (33.3%), followed by pneumonia (19.1%). Of the 54 TB cases, 40 (74.1%) were stable TB and 14 (25.9%) were active TB; among these 54 patients, NCCP was most commonly the result of fibrotic pleural thickening (55.6%), followed by subpleural stable pulmonary TB (14.8%).
Conclusion : Results of chest CT revealed that TB was a major cause of NCCP in a TB endemic area. Among the TB patients, fibrotic pleural thickening in patients with stable TB was the most common cause of NCCP.
|
|
|
KEYWORD
|
|
|
Chest Pain, Chest CT, Tuberculosis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|