Chest and Chest Wall Manifestations in Rheumatic Diseases

Thoracic involvement is common in patients with rheumatic diseases, contributing to significant morbidity and mortality. Early detection and prompt treatment may prevent the establishment of irreversible changes, thus improving patients' outcomes. Imaging studies play a vital role in the early detection of chest and chest wall manifestations, especially in patients with subclinical disease. Familiarity with the frequently affected thoracic regions and their presentation on imaging is therefore essential for practicing radiologists to provide an accurate assessment of the disease burden and treatment response. This review summarizes the common and less well-known chest and chest wall imaging features of rheumatic diseases.