COMPUTED TOMOGRAPHIC EVALUATION OF CHEST MASSES AND ITS CORRELATION WITH HISTOPATHOLOGICAL DIAGNOSIS IN A TERTIARY CARE HOSPITAL, VSS MEDICAL COLLEGE AND HOSPITAL, SAMBALPUR, BURLA, ODISHA

Abstract

Manish Madan1, Vikas Agrawal2

BACKGROUND
Computed Tomography (CT) offers a precise guidance to the needle biopsy making it a viable alternative for the invasive procedures. The thoracic cavity consists of right and left pleural cavity and a mid-cavity in between called mediastinum.1 Thoracic diseases are common and include a wide spectrum of lesions involving distinct compartments, i.e. lung parenchyma, pleura, chest wall and mediastinum.
MATERIALS AND METHODS
Study was conducted in a tertiary care hospital, VSS Medical College and Hospital, Burla. Fifty (50) patients who had chest findings were included in the present study. Relevant lab investigations and CT was done to determine the size, morphology, margin, density, calcification and various other characters.
RESULTS
The patients were in the age group of 15-65 yrs. Radiological diagnosis was approached for 26 lung lesion and it was correct in 21 cases (80.76%). Histopathological diagnosis was approached for twelve cases and it was correct in 10 cases (83.3%). Radiological diagnosis was approached for 24 cases of mediastinal masses. It was correct in 21 cases (87.5%). Histopathological diagnosis was approached for 22 cases and it was correct in 17 cases (77.2%). Calcification was not seen in any of the four tubercular lesions in this study.
CONCLUSION
CT diagnosis was correct in 80.77% cases of the lung and 87.5% of the mediastinal cases.

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