Journal Browser Advanced Search Help
Journal Browser Advanced search HELP
J Korean Soc Radiol. 2015 Oct;73(4):209-215. English. Original Article. https://doi.org/10.3348/jksr.2015.73.4.209
Lee SW , Shim SS , Kim Y , Ryu YJ .
Department of Radiology, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea. sinisim@ewha.ac.kr
Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.
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.

Copyright © 2019. Korean Association of Medical Journal Editors.