Pulmonary fibrosis in ankylosing spondylitis
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Jan Frank Gerstenmaier had no recorded disclosures.
View Jan Frank Gerstenmaier's current disclosuresPresentation
This patient attends medical outpatient clinics in two specialties.
Patient Data

There is bilateral volume loss due to pulmonary fibrosis with an upper zone predilection.
1 case question available
Q: What are causes of upper zone pulmonary fibrosis? show answer
A: Sarcoidosis, tuberculosis, cystic fibrosis, ankylosing spondylitis, silicosis, histiocytosis X, radiation


window


bone window

CT demonstrates upper and mid zone fibrosis bilaterally with extensive bullous change. Syndesmophytes and vertebral body squaring are shown in the thoracic spine. There is some kyphosis.
1 case question available
Q: What is the cause of pulmonary fibrosis in this case? show answer
A: AS
Case Discussion
As little as 1% of ankylosing spondylitis patients have upper zone fibrosis on chest radiographs. The natural radiographic history is that of reticulonodular opacities becoming confluent. Bullae and cavitation is typical as in this case, therefore mimicking tuberculosis.
References
- Mayberry JP, Primack SL, Müller NL. Thoracic manifestations of systemic autoimmune diseases: radiographic and high-resolution CT findings. Radiographics. 2001;20 (6): 1623-35. Pubmed citation
4 articles feature images from this case
367 playlists include this case
Public playlists
- chest by Nahla fawzy mohamed noiem
- VIVA CHEST by Samuel T Gregson
- Case SL by Pradeep J. Gamage
- Imanchest by Iman Fani
- chest by Roya Faghani
- Chest FRCR Playlist by K Hussain
- CHEST VIVA BRONCHIECTAIS by Saneej Kanhirat
- Chest by Tamer Ghorab
- 2B good cases by Robert Pallas
- CHEST VIVA by Juliana Tsuruta ◉
- ? by simranjit bawa
- Rcr by Mohammed Ahmed Fahmy
- Milad adult chest by Milad Ghasemzadeh
- Lung: pneumonia Or tumor"??? Embolism by Do Thanh Danh
- Chest Viva by Emily Davidson
- chest viva by AHMED BELETA
- Chest Viva by Miguel
- FRCR 2B 3 by Sherif Mohsen Shalaby
- Thorax by Pavan Kumar
- For students by dikaryok dikaryok
- Upper lobe fibrosis by sananda haldar ◉
- MSK tutorial by Deirdre Graham
- Sarath FRCR by sarath babu
- 2b chest by Prakruthi Venkatappa
- Chest 2 by Rubi Subhash
- chest june 22 by elroy
- Chest by Parveen Sidhu
- Msk course by marwa
- Chest by docjabs25
- Set Pieces - Chest Viva by Sarah Robertson
- Chest mock 17/04 by Asad ur Rehman
- Sarath FRCR by sarath babu
- chest by emma stokes
- Random chest test by Gary Lee
- 2b cardiac by Prakruthi Venkatappa
- RANZCR CHEST by Humberto Rodrigo Prochnow Tibau
- practice 1 by Ali Mansoor
- Chest radiographs by Jan Frank Gerstenmaier
- CHEST Viva 2 by Logan JR Walker
- TGRS Pot 03/06/2022 by Tavonga Bayela
- RESP further fodder by Gabrielle
- Bronchiectasis by Reid Schofield
- chest by R A A
- Chest practice by Davina Bates
- GK - Chest - ILD by GLK
- GK - Viva - Chest by GLK
- E film 1 by Nadee Taranga Senaratna
- FRCR 2B CASES by Nazahat Pasha
- Chest by Cecil Chen
- pl1 by Tran Huong Giang
- ..... by Vish
- UCD Medical Students 2018 by Danielle Byrne
- Chest airways/cystic lung disease by Edward Chan
- 663-Interstitial and Consolidation by Lauren Tollefson
- Chest - Air Space by Charles Werren ◉
- CHEST VIVA HY by Bilal Vanlioglu
- CXR by Kenneth Kwok
- Chest diffuse by Bob Ng
- Viva 14 by Lam Jiahong Jeremy
- cardiac and respiratory course by nezar shlaka
- Chest hot hits by Victor Tang
- viva NS by nuran sabir
- UWA + Notradame teaching + Reg orientation - 2017 by Yuranga Weerakkody ◉
- YJL 2B Chest by YJ Lee
- Mixed Bag 5 by Tyler Munk
- August 22 playlist by Anusha Subramanian
- Viva Set 6 by Doctor Radiologist
- BPT Chest by Wayland Wang ◉ ◈
- MAK Chest by Michael Kreltszheim
- ASB CASES by ASHISH BASANTANI ◉
- NW # 13 by Nan Wang
- P2 - Chest by Sachi Hapugoda
- New CXR playlist by Christopher Lee
- Upper lobe fibrosis by Anastasia Tjan
- 25.4 MSK by NGUYEN THI NGOC ANH
- TB DDx by Ali Labeeb Alwan
- FRANZCR 02 Chest by AMIRSALEH JAFARI
- Candidate 2 by Faiza Sadiq
- Arthritides by Scott Fleming
- Resident Session 9/11/13 by Hector Rivera-Melo
- Chest by Gajan Surendra
- PART 2 - very good cases by Leonard Tiong
- chest 2 by Dilhani Ranasinghe ◉
- CHEST GENERAL by Deyan P. Ivanov
- Chest - gamuts by David Serich
- Consolidation & Intersitial disease by Christopher L. Smoley
- VL16062019 by Vijaylaxmi .
- FRCR 2B 6 by Sherif Mohsen Shalaby
- FRCR 2B cases by mehvish
- Chest by Whitney Graff
- Cavitatory lung lesions and their mimics by Ksw
- Favourite chest cases by Rohit Sharma ◉
- AA-CHEST 3 by Anusha Apparau
- Resident Film Review by Ashley Hook
- chest by R A A
- Erosive Arthropathies - Classic 2B Findings by Pauline Gammack
- Chest Xray Viva practice by Saneej Kanhirat
- Patho générale by SYLVAIN MARCHASSON
- Chapman by Nahla fawzy mohamed noiem
- VIVA CHEST by Samuel T Gregson
- Chest by Taimur
- Boards Cases by Savannah Shortz
- Chest VIVA by Michael Le ◉
- Thorax by Pavan Kumar
- Frcr2b Chest Part 1 - D by Dilina Rajapakse
- msk by Ahmed Emira
- 27 feb by Tamer Ghorab
- Thorx scarce cases by Benali
- Chest airspace/interstitial disease by Edward Chan
- Chest Viva 2 by Saneej Kanhirat
- Chest 1 by Tracy Liu
- 25 July 2022 by Priyank Gupta
- Chest by Afonso Carvalho Silva
- 2b chest by Ali Labeeb Alwan
- Chest and CVS viva 1/10/22 by Nik M H Nik Hussin ◉
- Bronchiectasis and related conditions by Frank Gaillard ◉ ◈
- CHEST GAMMUTS 1 by John Karpewycz
- Chest Viva 2 by Miguel
- chest by Keshav Gupta
- 663 Consolidation & Interstitial by Eric Timothy Stefanowicz
- play list 21.02.2021 by Vijaya kumary Baskara pandian
- DV-CHEST by Dhanesh Vijayan ◉
- CXR by mehvish
- 1.2.3. Viva by Tamer Ghorab
- Viva 14 by Marios Zertalis
- Diffuse lung disease by Allister Howie
- fibrosis by Madeleine Scicchitano ◉
- panel 01 by Pradeep J. Gamage
- nezar chest by nezar shlaka
- Respiratory by Pooja Kembhavi
- MSK by Jeneesh K
- Chest 2 by N Seth
- JU24 Chest by Sugam Taneja
- Viva 2B by Ahmad khalifa
- ILD by Tameem Ahmad
- Chest Viva 2 by Wasif Mohammed
- Chest by Eugene Ng
- Chest imaging (Diffuse lung disease) by Mohamed Shedeed
- chest by Liyanaarachchi champika niroshani silva
- Norwich by Sanjana Shetty
- CS ge by Chinju Sunny
- FRCR MUST KNOW CASES by Nikhil Narayanan
- Arthritis Session by Nicole Zipay
- poumon by Mohamed Oularbi
- 2B: Chest by Daoud akhtar
- Nuran by Kanika Garg
- FRCR 2B by Shirish Paul Ganta
- Chest by Kary Suen ◈
- 2b by Trilochan Panthee
- CHEST (FCPS 2 viva playlist) by Kanwal Laique
- viva 17 march by Nazahat Pasha
- Resp part 2 cases - Kevin Dunne by Kevin Dunne
- gi by Dr. Rohan Luthra
- chest by Dr. Rohan Luthra
- ED - Chest by Georgina Venn
- chest by Hazal Karli
- 2b chest 2 LUNG by R A A
- mas1 by Mohammed Elsangidy
- ChestRadicools1 by Jarrel Seah
- chest by Parvathy suresh
- FRCR viva day before by Sami Francis
- CHEST by wael
- Amjed 1 by Sami Francis
- exam 9 may by ADITYA DHARMESH MEHTA
- Crack the Core Thoracic by Catalin Caraenache
- chest revision by Abhishek Suman
- 2B Chest (order of notes) by Daoud akhtar
- FRCR 2b by Maria Khan
- N 16/12 by Hazal Karli
- Thorax 12 - Apical masses by Praveen Samarawickrama
- Emergency playlist Alaa 25-12-2023 by alaa mohamed reda
- chest viva 1-2024 by alaa mohamed reda
- Dr Abid cases by Abid Hussain
- FRCR by Mahak Sood
- AE FRCR 2B # by ALAA ELFEKY
- 2b-2 by Trilochan Panthee
- Amjed 7 by Sami Francis
- CHEST FRCR by Noha Aboelenin
- V2. PINS by Muhammad Tahir Khan
- D.D by marwa
- Class 3 by Udari Abeykoon
- RASHED 2B CHEST by Mahmoud Rashed
- RASHED 2B Multisystem &SYNDROMS by Mahmoud Rashed
- Favourite by Subham Das
- viva practice 070524 by Theaneeswary Sinniah
- chest ?؟ by Aseel Khalid Alabhar
- chest by Tamer
- shirish 2b playlist by Shirish Paul Ganta
- Chest by Rasanayagam Mehatheepan
- FRCR 2b by Dr Priyanka Prasad R
- CXR - lungs by Hari Prasath Sivakumar
- John Curtis 2 by marwa
- Upper lung fibrosis by Hatem Al Jaafari
- Marwa Azab Approach chest by marwa
- Marwa Azab Approach chest by marwa
- 13/1 by Ahmed Hendam
- FRCR 2b practice by Nouran Shams
- Chest cases for viva practice 25 by Snehil Kumar
- Torace by Andreea Pantilie
- Cxr by Hamza
- Core by Shekhar Khanpara
- DingboChest1 by Jessica Billham
- ASA 3 by ASANKA RANAWEERA
- amdad chest by marwa
- FRCR2B - Chest by Aman
- RMH/ALF - Collagen Vascular Disease Pulmonary Manifestations by Yen Huynh ◈
- 13jan by Jayathra Liyana Gamage
- FRCR 2B by Salma Albastawisy
Unlisted playlists
This case is used in 159 unlisted playlists.
Related Radiopaedia articles
Promoted articles (advertising)
How to use cases
You can use Radiopaedia cases in a variety of ways to help you learn and teach.
- Add cases to playlists
- Share cases with the diagnosis hidden
- Use images in presentations
- Use them in multiple choice question
Creating your own cases is easy.
ADVERTISEMENT: Supporters see fewer/no ads