Usual interstitial pneumonia type pattern

Case contributed by Lawrence Josey
Diagnosis almost certain


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.