Rheumatoid interstitial lung disease - UIP pattern

Case contributed by Assoc Prof Frank Gaillard

Presentation

Chronic shortness of breath. Previous medical history of rheumatoid arthritis and long-term smoker.

Patient Data

Age: 70 years
Gender: Male

CT demonstrates extensive pulmonary fibrosis in the mid and lower zones (note the extensive honeycombing) with co-existing severe centrilobular emphysema in the upper zones. 

Case Discussion

CT demonstrates extensive pulmonary fibrosis in the mid and lower zones (note the extensive honeycombing) with co-existing severe centrilobular emphysema in the upper zones. 

The fibrosis is attributable to the patient's known rheumatoid arthritis, and the emphysema to a long history of smoking.

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