Imaging of Pulmonary Manifestations in Chronic Kidney Disease: A Review

Abanti Das; Priyanka Naranje; Ashu Seith Bhalla; Chandan J. Das

doi:10.1055/s-0043-1774757

Indographics, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Indographics 2023; 02(02): 095-108
DOI: 10.1055/s-0043-1774757

Review Article

Imaging of Pulmonary Manifestations in Chronic Kidney Disease: A Review

Authors

Abanti Das

¹Department of Radiodiagnosis, All India Institute of Medical Sciences, Kalyani, West Bengal, India
Priyanka Naranje

²Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
Ashu Seith Bhalla

²Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India
Chandan J. Das

²Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India

Abstract

Lungs and kidneys share a symbiotic relationship in maintaining homeostasis of body. Hence, derangement of one system is bound to affect the functioning of the other. The thoracic manifestations of chronic renal failure present a wide spectrum ranging from problems related to fluid and salt balance, calcium–phosphate metabolism, compromised immunity, and additional issues related to different modes of dialysis. In most of the cases, chest radiograph coupled with ultrasound and computed tomography (CT) are sufficient to offer a definitive diagnosis. This review aims to summarize the imaging features of thoracic manifestations of chronic kidney disease (CKD) with emphasis on imaging-based discriminating features.

Keywords

chronic kidney disease - pulmonary - pulmonary edema - chest radiograph - CT - pulmonary infection

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References
1 Jager KJ, Kovesdy C, Langham R, Rosenberg M, Jha V, Zoccali C. A single number for advocacy and communication-worldwide more than 850 million individuals have kidney diseases. Kidney Int 2019; 96 (05) 1048-1050
2 Pierson DJ. Respiratory considerations in the patient with renal failure. Respir Care 2006; 51 (04) 413-422
3 Milne EN, Pistolesi M, Miniati M, Giuntini C. The radiologic distinction of cardiogenic and noncardiogenic edema. AJR Am J Roentgenol 1985; 144 (05) 879-894
4 Fraser R, Paré J, Paré P, Fraser R, Genereux G. Diagnosis of Diseases of the Chest. 3rd ed. Vol. 1887–1968.. Philadelphia, PA: Saunders; 1990
5 Gavelli G, Zompatori M. Thoracic complications in uremic patients and in patients undergoing dialytic treatment: state of the art. Eur Radiol 1997; 7 (05) 708-717
6 Aberle DR, Wiener-Kronish JP, Webb WR, Matthay MA. Hydrostatic versus increased permeability pulmonary edema: diagnosis based on radiographic criteria in critically ill patients. Radiology 1988; 168 (01) 73-79
7 Storto ML, Kee ST, Golden JA, Webb WR. Hydrostatic pulmonary edema: high-resolution CT findings. AJR Am J Roentgenol 1995; 165 (04) 817-820
8 Gowrinath K, Attur RP, Baig WW, Magazine R, Srikanth G, Rajagopal KV. An unusual case of unilateral pulmonary edema in patients with chronic kidney disease. Respir Med CME 2009; 2 (03) 130-133
9 Chandrashekar HB, Ravi R, Sundar S, Ramarao D. Unilateral pulmonary edema: a report of two cases. Indian J Chest Dis Allied Sci 1992; 34 (03) 157-161
10 Slanetz PJ, Truong M, Shepard JA, Trotman-Dickenson B, Drucker E, McLoud TC. Mediastinal lymphadenopathy and hazy mediastinal fat: new CT findings of congestive heart failure. AJR Am J Roentgenol 1998; 171 (05) 1307-1309
11 Ngom A, Dumont P, Diot P, Lemarié E. Benign mediastinal lymphadenopathy in congestive heart failure. Chest 2001; 119 (02) 653-656
12 Milne EN, Pistolesi M, Miniati M, Giuntini C. The vascular pedicle of the heart and the vena azygos. Part I: the normal subject. Radiology 1984; 152 (01) 1-8
13 Gavelli G, Zompatori M, Bernasconi A, Baldrati L, Buscaroli A, Orsi C. Valutazione radiologica dello stato di idratazione nei pazienti uremici in dialisi periodica. [Radiological evaluation of the state of hydration in uremic patients under periodic dialysis]. Radiol Med (Torino) 1984; 70 (12) 933-936
14 di Guglielmo L, Montemartini C. L'esame-diretto del torace nello studio della cardiopatia ischemica. Radiologia Toracica III 1985;109–123 SIRM Cortina, Verona.
15 Covic A, Siriopol D, Voroneanu L. Use of lung ultrasound for the assessment of volume status in CKD. Am J Kidney Dis 2018; 71 (03) 412-422
16 Gargani L, Volpicelli G. How I do it: lung ultrasound. Cardiovasc Ultrasound 2014; 12: 25
17 Jambrik Z, Monti S, Coppola V. et al. Usefulness of ultrasound lung comets as a nonradiologic sign of extravascular lung water. Am J Cardiol 2004; 93 (10) 1265-1270
18 Picano E, Frassi F, Agricola E, Gligorova S, Gargani L, Mottola G. Ultrasound lung comets: a clinically useful sign of extravascular lung water. J Am Soc Echocardiogr 2006; 19 (03) 356-363
19 Picano E, Pellikka PA. Ultrasound of extravascular lung water: a new standard for pulmonary congestion. Eur Heart J 2016; 37 (27) 2097-2104
20 Sarnak MJ, Jaber BL. Pulmonary infectious mortality among patients with end-stage renal disease. Chest 2001; 120 (06) 1883-1887
21 Viasus D, Garcia-Vidal C, Cruzado JM. et al. Epidemiology, clinical features and outcomes of pneumonia in patients with chronic kidney disease. Nephrol Dial Transplant 2011; 26 (09) 2899-2906
22 Bonomini V, Stefoni S, Vangelista A. et al. Immune system in uremia. In: Davison A. ed. Proceedings of the Xth International Congress of Nephrol: 2. London: Baillére-Tindall; 1987: 1042-1047
23 Slinin Y, Foley RN, Collins AJ. Clinical epidemiology of pneumonia in hemodialysis patients: the USRDS waves 1, 3, and 4 study. Kidney Int 2006; 70 (06) 1135-1141
24 Chen CY, Hsu SC, Hsieh HL. et al. Microbial etiology of pneumonia in patients with decreased renal function. PLoS One 2019; 14 (05) e0216367
25 Hussein MM, Mooij JM, Roujouleh H. Tuberculosis and chronic renal disease. Semin Dial 2003; 16 (01) 38-44
26 Segall L, Covic A. Diagnosis of tuberculosis in dialysis patients: current strategy. Clin J Am Soc Nephrol 2010; 5 (06) 1114-1122
27 Rao TM, Ram R, Swarnalatha G. et al. Tuberculosis in haemodialysis patients: a single centre experience. Indian J Nephrol 2013; 23 (05) 340-345
28 Taskapan H, Utas C, Oymak FS, Gülmez I, Ozesmi M. The outcome of tuberculosis in patients on chronic hemodialysis. Clin Nephrol 2000; 54 (02) 134-137
29 Sasaki S, Akiba T, Suenaga M. et al. Ten years' survey of dialysis-associated tuberculosis. Nephron J 1979; 24 (03) 141-145
30 Hussein MM, Bakir N, Roujouleh H. Tuberculosis in patients undergoing maintenance dialysis. Nephrol Dial Transplant 1990; 5 (08) 584-587
31 Abbott KC, Hypolite I, Tveit DJ, Hshieh P, Cruess D, Agodoa LY. Hospitalizations for fungal infections after initiation of chronic dialysis in the United States. Nephron J 2001; 89 (04) 426-432
32 Oyelade T, Alqahtani J, Canciani G. Prognosis of COVID-19 in patients with liver and kidney diseases: an early systematic review and meta-analysis. Trop Med Infect Dis 2020; 5 (02) 80
33 Kuhlman JE, Ren H, Hutchins GM, Fishman EK. Fulminant pulmonary calcification complicating renal transplantation: CT demonstration. Radiology 1989; 173 (02) 459-460
34 Bush A, Gabriel R. Pulmonary function in chronic renal failure: effects of dialysis and transplantation. Thorax 1991; 46 (06) 424-428
35 Sanders C, Frank MS, Rostand SG, Rutsky EA, Barnes GT, Fraser RG. Metastatic calcification of the heart and lungs in end-stage renal disease: detection and quantification by dual-energy digital chest radiography. AJR Am J Roentgenol 1987; 149 (05) 881-887
36 Lingam RK, Teh J, Sharma A, Friedman E. Case report. Metastatic pulmonary calcification in renal failure: a new HRCT pattern. Br J Radiol 2002; 75 (889) 74-77
37 Hartman TE, Müller NL, Primack SL. et al. Metastatic pulmonary calcification in patients with hypercalcemia: findings on chest radiographs and CT scans. AJR Am J Roentgenol 1994; 162 (04) 799-802
38 Brown K, Mund DF, Aberle DR, Batra P, Young DA. Intrathoracic calcifications: radiographic features and differential diagnoses. Radiographics 1994; 14 (06) 1247-1261
39 Guermazi A, Espérou H, Selimi F, Gluckman E. Imaging of diffuse metastatic and dystrophic pulmonary calcification in children after haematopoietic stem cell transplantation. Br J Radiol 2005; 78 (932) 708-713
40 Thurley PD, Duerden R, Roe S, Pointon K. Case report: rapidly progressive metastatic pulmonary calcification: evolution of changes on CT. Br J Radiol 2009; 82 (980) e155-e159
41 Belém LC, Zanetti G, Souza Jr AS. et al. Metastatic pulmonary calcification: state-of-the-art review focused on imaging findings. Respir Med 2014; 108 (05) 668-676
42 Taguchi Y, Fuyuno G, Shioya S. et al. MR appearance of pulmonary metastatic calcification. J Comput Assist Tomogr 1996; 20 (01) 38-41
43 Justrabo E, Genin R, Rifle G. Pulmonary metastatic calcification with respiratory insufficiency in patients on maintenance haemodialysis. Thorax 1979; 34 (03) 384-388
44 Rosenthal DI, Chandler HL, Azizi F, Schneider PB. Uptake of bone imaging agents by diffuse pulmonary metastatic calcification. AJR Am J Roentgenol 1977; 129 (05) 871-874
45 Rendich R, Levy A, Cove A. Pulmonary manifestations of azotemia. AJR Am J Roentgenol 1941; 46: 802-808
46 Doniach L. Uremic edema of the lungs. Am J Roentgenol Radium Ther 1947; 58 (05) 620-628
47 Depass SW, Jacobson HG, Poppel MH, Stein J. Pulmonary congestion and edema in uremia. J Am Med Assoc 1956; 162 (01) 5-9
48 Borgstrom K-E, Ising U, Linder E, Lunderquist A. Experimental pulmonary edema. Acta Radiol 1960; 54 (02) 97-119
49 Henkin RI, Maxwell MH, Murray JF. Uremic pneumonitis. A clinical, physiological study. Ann Intern Med 1962; 57 (06) 1001-1008
50 Mukai H, Ming P, Lindholm B. et al. Lung dysfunction and mortality in patients with chronic kidney disease. Kidney Blood Press Res 2018; 43 (02) 522-535
51 Nidus BD, Matalon R, Cantacuzino D, Eisinger RP. Uremic pleuritis: a clinicopathological entity. N Engl J Med 1969; 281 (05) 255-256
52 Berger HW, Rammohan G, Neff MS, Buhain WJ. Uremic pleural effusion. A study in 14 patients on chronic dialysis. Ann Intern Med 1975; 82 (03) 362-364
53 Bakirci T, Sasak G, Ozturk S, Akcay S, Sezer S, Haberal M. Pleural effusion in long-term hemodialysis patients. Transplant Proc 2007; 39 (04) 889-891
54 Kumar S, Agarwal R, Bal A. et al. Utility of adenosine deaminase (ADA), PCR & thoracoscopy in differentiating tuberculous & non-tuberculous pleural effusion complicating chronic kidney disease. Indian J Med Res 2015; 141 (03) 308-314
55 Alpert MA, Ravenscraft MD. Pericardial involvement in end-stage renal disease. Am J Med Sci 2003; 325 (04) 228-236
56 Rudnick MR, Coyle JF, Beck LH, McCurdy DK. Acute massive hydrothorax complicating peritoneal dialysis, report of 2 cases and a review of the literature. Clin Nephrol 1979; 12 (01) 38-44
57 Hollett MD, Marn CS, Ellis JH, Francis IR, Swartz RD. Complications of continuous ambulatory peritoneal dialysis: evaluation with CT peritoneography. AJR Am J Roentgenol 1992; 159 (05) 983-989
58 Prokesch RW, Schima W, Schober E, Vychytil A, Fabrizii V, Bader TR. Complications of continuous ambulatory peritoneal dialysis: findings on MR peritoneography. AJR Am J Roentgenol 2000; 174 (04) 987-991
59 Yavuz K, Erden A, Ateş K, Erden I. MR peritoneography in complications of continuous ambulatory peritoneal dialysis. Abdom Imaging 2005; 30 (03) 361-368
60 Green A, Logan M, Medawar W. et al. The management of hydrothorax in continuous ambulatory peritoneal dialysis (CAPD). Perit Dial Int 1990; 10 (04) 271-274
61 Schwab SJ. Hemodialysis-associated central vein stenosis and thrombosis: unresolved problems. Semin Dial 1989; 3 (02) 141-144
62 Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ, Krzywda EA, Andris DA. Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 1990; 177 (02) 353-356
63 Stewart GD, Jackson A, Beards SC. Azygos catheter placement as a cause of failure of dialysis. Clin Radiol 1993; 48 (05) 329-331
64 MacRae JM, Ahmed A, Johnson N, Levin A, Kiaii M. Central vein stenosis: a common problem in patients on hemodialysis. ASAIO J 2005; 51 (01) 77-81
65 Schwab SJ, Harrington JT, Singh A. et al. Vascular access for hemodialysis. Kidney Int 1999; 55 (05) 2078-2090
66 Verso M, Agnelli G. Venous thromboembolism associated with long-term use of central venous catheters in cancer patients. J Clin Oncol 2003; 21 (19) 3665-3675