Scleroderma with NSIP

Case contributed by Dr Hanisalam

Presentation

30 year old female patient known case of scleroderma presented with shortness of breath

Patient Data

Age: 30
Gender: Female
Modality: X-ray

See below

Modality: CT

See below

Case Discussion

Unremarkable chest radiograph. However, CT scan of the chest shows scattered subpleural cysts not reaching the degree of honeycombing. 

Subpleural cysts are features of NSIP, but compared to those of UIP, these cysts are smaller and limited in extent. The term "microcystic honeycombing" is used for these cystic changes in NSIP, as opposed to the macrocystic honeycombing seen in UIP.

Scleroderma patients tend to have NSIP changes rather than UIP in the majority.

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Case Information

rID: 13287
Case created: 23rd Mar 2011
Last edited: 11th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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