Usual interstitial pneumonia (UIP)

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Progressive shortness of breath.

Patient Data

Age: 70 years
Gender: Male

CT Chest

ct

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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