With the advent of multislice technology computed tomography experienced a
boost in image quality, comparable to the introduction of spiral CT one dec
ade ago. In the chest,the improved performance may be utilised to scan fast
er or to obtain an almost isotropic spatial resolution. For examinations of
the lungs multislice CT offers considerable advantages over single slice s
piral CT: reduced breathing and pulsation artefacts, the ability to cover l
arge volumes with thin slices, the simultaneous evaluation of high resoluti
on and standard imaging protocols from one data acquisition, high resolutio
n multiplanar sections through the lung parenchyma, and 3D techniques like
volume rendering and virtual bronchoscopy. In this review the technical pri
nciples of multislice CT of the lungs are discussed. Major clinical applica
tions such as evaluation of focal and diffuse lung disease are reviewed.