UIP pattern interstitial lung disease in rheumatoid arthritis

Case contributed by Charlie Chia-Tsong Hsu
Diagnosis almost certain

Presentation

50 years old male with history of rheumatoid arthritis.

Patient Data

Age: 50
Gender: Male

Chest radiograph shows decreased lung volume and basal predominant coarse reticulation. Also note dilated loops of bowels in the upper abdomen. 

HRCT demonstrates reticular/ground glass opacities, traction bronchiectasis and extensive honeycombing with peripheral and basal predominance. In addition the presence of anterior upper lobe honeycombing (red arrows) is a more common finding in rheumatoid arthritis and not typically seen in idiopathic pulmonary fibrosis. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.