Usual interstitial pneumonia (UIP)

Case contributed by Dr Bruno Di Muzio

Presentation

Progressive shortness of breath.

Patient Data

Age: 70 years
Gender: Male
CT

CT Chest

Interstitial lung disease with a craniocaudal gradient of lung architectural distortion characterized by peripheral spetal thickenign associated with honeycombing and traction bronchiectasis. 

Case Discussion

This case shows typical UIP pattern on imaging:

  • distribution
    • basal predominant
    • subpleural predominant
  • features
    • honeycombing
    • reticulation with peripheral bronchiectasis or bronchiolectasis
    • absence of features suggesting an alternative diagnosis 

The presence of this pattern, in the correct clinical setting, permits a confident diagnosis of IPF (idiopathic pulmonary fibrosis).

 

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Case information

rID: 59878
Published: 15th Jul 2018
Last edited: 25th Sep 2018
System: Chest
Inclusion in quiz mode: Included

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