Jacob J, Nair A, Hansell David M
Department of Radiology, Royal Brompton and Harefield NHS Foundation Trust, London, United Kingdom.
Semin Respir Crit Care Med. 2014 Apr;35(2):166-80. doi: 10.1055/s-0034-1371526. Epub 2014 Mar 25.
Pulmonary disease is common in patients with connective tissue disease (CTD) and confers significant morbidity and mortality. High-resolution computed tomography (HRCT) provides considerable information regarding the distribution and severity of thoracic disease in CTD. Different anatomical compartments of the lung can be simultaneously affected in a given individual. Furthermore, lung injury may not be solely related to the underlying CTD, but may be caused by treatment or infections. Finally, the risk of developing cancer is increased in patients with certain CTDs. In this review, the HRCT manifestations of CTD are initially discussed with respect to the different compartments involved, followed by a description of the spectrum of pulmonary disease commonly occurring in specific CTDs.