Computed tomography of the chest

Changed by Daniel J Bell, 8 Aug 2017

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Computed tomography (CT) of the chest is a cross-sectional evaluation of the heart, airways, lungs, mediastinum, and the mediastinumassociated bones and soft tissues.

Two key methods of image acquisition include:

  • routinestandard CT with 5 mm slice thickness for mediastinum and gross evaluation of lungs
  • high-resolution CT (HRCT) with thin sections (slice thickness of 0.625 to 1.25 mm) for evaluation of the secondary lobule of the lungs

General indications

Emergencies
  • chest trauma: evaluation of contusionsrib fractures and pneumothorax
  • aortic pathologies: dissection, transection
  • pulmonary embolism
  • post-thoracic surgery complications: mediastinal haematomas, complex pleural collections
Non-emergencies
  • evaluation of nodules, hilar, or mediastinal masses identified on a chest radiograph
  • diagnosis and staging of lung cancer
  • detection of metastasis from known extrathoracic malignancies
  • assessment of congenital anomalies of the thoracic great vessels
  • characterisation of interstitial lung disease (ILDs)
  • -<p><strong>Computed tomography (CT) of the chest</strong> is a cross-sectional evaluation of the heart, airways, lungs and the mediastinum.</p><p>Two key methods of image acquisition include:</p><ul>
  • -<li>routine CT with 5 mm slice thickness for mediastinum and gross evaluation of lungs</li>
  • +<p><strong>Computed tomography (CT) of the chest</strong> is a cross-sectional evaluation of the heart, airways, lungs, mediastinum, and associated bones and soft tissues.</p><p>Two key methods of image acquisition include:</p><ul>
  • +<li>standard CT with 5 mm slice thickness for mediastinum and gross evaluation of lungs</li>
  • -<a href="/articles/high-resolution-ct">high-resolution CT</a> (HRCT) with thin sections (slice thickness of 0.625 to 1.25) for evaluation of secondary lobule of lungs</li>
  • +<a href="/articles/high-resolution-ct">high-resolution CT</a> (HRCT) with thin sections (slice thickness of 0.625 to 1.25 mm) for evaluation of the secondary lobule of the lungs</li>
  • -<li>chest trauma: evaluation of <a title="Lung contusions" href="/articles/pulmonary-contusion">contusions</a> and <a title="Rib fractures" href="/articles/rib-fractures">rib fractures</a>
  • -</li>
  • +<li>chest trauma: evaluation of <a href="/articles/pulmonary-contusion">contusions</a>, <a href="/articles/rib-fractures">rib fractures</a> and pneumothorax</li>
  • -<li>diagnosis and staging of <a title="Lung cancer" href="/articles/lung-cancer-3">lung cancer</a>
  • +<li>diagnosis and staging of <a href="/articles/lung-cancer-3">lung cancer</a>
  • -<li>detection of <a title="Pulmonary metastases" href="/articles/pulmonary-metastases">metastasis</a> from known extrathoracic malignancies</li>
  • +<li>detection of <a href="/articles/pulmonary-metastases">metastasis</a> from known extrathoracic malignancies</li>

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