Idiopathic pulmonary fibrosis

Case contributed by Fabio Macori
Diagnosis certain

Presentation

Follow-up HRCT in a patient with idiopathic pulmonary fibrosis and with a family history of IPD (grandfather and father). The patient needs oxygen therapy aid.

Patient Data

Age: 55 years
Gender: Male

The images show all patterns typical of idiopathic pulmonary fibrosis: reticular abnormality characterized by areas of small linear opacity, honeycombing (cystic airspace measuring 3–10 mm in diameter, with 1- to 3-mm thick walls), traction bronchiectasis (irregular bronchial dilatation within the surrounding areas showing parenchymal abnormalities), mosaic pattern.

Case Discussion

Idiopathic pulmonary fibrosis is a pathology characterized by a reduced prognosis leading to death in about three years from the first diagnosis.

It is more frequent in people over 50 years of age and is characterized, above all, by the appearance of fattening dyspnea that requires the aid of oxygen therapy.

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