52 year old heavy smoker man with cough

 

Images

Doctor's Information

Name : shahram
Family : kahkouii
Affiliation :Assistant Professor
Academic Degree : Assistant Professor
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : masoud atyabi

 

Case Section

Chest Imaging

 

Patient's Information

Gender : Male
Age : 52

 

Clinical Summary

  52 years old heavy smoker  man with cough

 

Imaging Findings

smooth subpleural ground glass opacities more in lower lobes associated with centriacinar emphysema more in upper lobes. there is no evidence of honey combing.

 

Differential Diagnosis

NSIP UIP

 

Final Diagnosis

DIP

 

Discussion (Related Text)

Interstitial DDX of subpleaural ground glass opacities are DIP, NSIP, UIP. according to appearance of ground glass opacities and other accompanying finding, diagnosis is possible. smooth ground glass opacities indicate DIP. coarse ground glass opacities indicate fibrotic NSIP and UIP. subpleural sparing indicates NSIP. honey combing indicates UIP and NSIP. centriacinar emphysema indicates DIP.

 

References

Brant's fundamentals of Diagnostic Radiology volume 2

 

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