Pulmonary fibrosis - UIP pattern

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Known to the respiratory clinic with chronic breathing problems. No occupational history of significance.

Patient Data

Age: 60 years
Gender: Male
x-ray

Small volume lungs with bilateral increased interstitial markings, most pronounced peripherally, without a zonal predominence.

Extensive honeycombing throughout both lungs in a subpleural and basal distribution with consequential tractional bronchiectasis.

Case Discussion

This case of severe pulmonary fibrosis demonstrates extensive honeycombing of the lungs in a definite UIP pattern.

The potential causes of usual interstitial pneumonia (UIP) are long, with idiopathic pulmonary fibrosis being the most common.

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