Usual interstitial pneumonia type pattern

Case contributed by Dr Lawrence Josey

Presentation

Acute dyspnea.

Volume loss. Bilateral peripheral and lower zone reticular interstitial densities. Imaging features most match a pulmonary fibrosis with a UIP type pattern

Confirms radiographic findings. Traction bronchiectasis, basal and peripheral honeycombing. Increased attenuation of the lower lobe parenchyma. Underlying paraseptal emphysema noted.

Case Discussion

Further history and examination demonstrated a fever and productive cough superimposed on chronic symptomatology. Parenchymal densities cleared after treatment with antibiotics and the patient improved clinically.

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