Osteophyte-induced adjacent pulmonary atelectasis and fibrosis
Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Glick Y, Luong D, et al. Osteophyte-induced adjacent pulmonary atelectasis and fibrosis. Reference article, Radiopaedia.org (Accessed on 09 Dec 2024) https://doi.org/10.53347/rID-40079
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rID:
40079
Article created:
Disclosures:
At the time the article was created Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Yuranga Weerakkody had no financial relationships to ineligible companies to disclose.
View Yuranga Weerakkody's current disclosures
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16 times, by
8 contributors -
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Systems:
Synonyms:
- Focal pulmonary atelectasis adjacent to thoracic spinal osteophytes
- Focal pulmonary interstitial opacities adjacent to thoracic spinal osteophytosis
- Osteophyte related fibrosis
- Pulmonary atelectasis and fibrosis due to regional thoracic osteophytosis
- Osteophyte induced lung fibrosis
- Osteophyte induced lung fibrosis (OIF)
Osteophyte-induced adjacent pulmonary atelectasis and fibrosis are typically seen as focal pulmonary interstitial opacities adjacent to thoracic spinal osteophytes. They are a relatively common finding in thoracic CT imaging.
On this page:
Epidemiology
They are more common in older individuals.
Pathology
They are thought to represent a variable combination of compressive atelectasis ± fibrosis (focal pulmonary fibrosis).
Location
They are typically seen involving the medial basal segment of the right lower lobe and posterior segment of the left lower lobe where osteophytes are more commonly located.
Some studies have suggested that the likelihood of lung fibrosis is commensurate with the size of the osteophyte 3. Subpleural fat is considered a protective measure against osteophyte-induced lung fibrosis.
Treatment and prognosis
Most are not thought to be of clinical significance, generally do not appear to progress, and are not considered a pre-clinical form of more extensive fibrosing lung disease 2.
References
- 1. Otake S, Takahashi M, Ishigaki T. Focal pulmonary interstitial opacities adjacent to thoracic spine osteophytes. AJR Am J Roentgenol. 2002;179 (4): 893-6. doi:10.2214/ajr.179.4.1790893 - Pubmed citation
- 2. Hansell DM. Thin-section CT of the lungs: the Hinterland of normal. Radiology. 2010;256 (3): 695-711. doi:10.1148/radiol.10092307 - Pubmed citation
- 3. Salvatore M, Henschke C, Yip R et al. Osteophyte Induced Lung Fibrosis Prevalence and Osteophyte Qualities Predicting Disease. Clin Imaging. 2017;44:1-4. doi:10.1016/j.clinimag.2017.02.008 - Pubmed
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