Non-specific interstitial pneumonia

Presentation

Dyspnoea and pleuritic chest pain on background of interstitial fibrosis

Patient Data

Age: 57
Gender: Female

The pulmonary arteries opacify normally without filling defects to a segmental level, no pulmonary emboli detected. 

Extensive interstitial changes with subpleural predominance associated with areas of traction bronchiectasis, consistent with known underlying pulmonary fibrosis. There are also patchy areas of ground-glass opacities throughout the lungs with no definite honey combing associated with mediastinal lymphadenopathies favouring NSIP over UIP. 

Comparison with old imaging is strongly recommended as definite differentiation and progression is not possible. Pulmonary artery, in particular left pulmonary branch, appears enlarged most consistent with increased right heart pressure. No other abnormalities are identified. 

Case Discussion

Typical appearance of NSIP.

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Case information

rID: 21861
Case created: 23rd Feb 2013
Last edited: 11th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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