What is the role of imaging studies in the workup of mixed connective-tissue disorder (MCTD)?

Updated: Oct 01, 2018
  • Author: Eric L Greidinger, MD; Chief Editor: Herbert S Diamond, MD  more...
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Answer

Imaging studies used in the workup of patients with MCTD include the following:

  • Chest radiography - To assess for infiltrates, effusion, or cardiomegaly (see the image below)

  • Echocardiography - In patients with effusion or chest pain, used to evaluate for pulmonary hypertension or valvular disease (exercise echocardiography may have increased sensitivity for identifying pulmonary hypertension) [25]

  • Ultrasonography/CT scanning - Used to evaluate abdominal pain (indicated for evidence of serositis, pancreatitis, or visceral perforation related to vasculitis)

  • MRI - Used to assess neuropsychiatric signs or symptoms

Chest radiograph in a patient with pulmonary hyper Chest radiograph in a patient with pulmonary hypertension reveals enlarged pulmonary arteries.

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