Usual interstitial pneumonia

Case contributed by Bruno Di Muzio
Diagnosis probable


Shortness of breathing

Patient Data

Age: 80 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT Chest (selected images)


Peripheral septal thickening, macrocytic honeycombing, and traction bronchiectasis with an apicobasal gradient of distribution. Also noted paraseptal and centrilobular emphysema with large apical bullae suggestive of concomitant COPD. 

Case Discussion

The diagnosis of idiopathic pulmonary fibrosis requires the exclusion of other known causes of usual interstitial pneumonia, including use of toxic drugs, environmental exposure (asbestos), and collagen vascular disease.

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