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Case discussion | HRCT pattern A 36-year-old female with interstitial lung disease. Her pulmonologist asked a simple but important question: 👉 What is the HRCT pattern, and what should we tell the clinician?

39,619 Aufrufe • vor 9 Monaten •via X (Twitter)

13 Kommentare

Profilbild von Chris Streiler, MD
Chris Streiler, MDvor 9 Monaten

The pattern appears to be a fibrotic NSIP. The question was likely what side of her body does she usually sleep on. My guess is right based on the significantly worse disease on right. She likely has aspiration/reflux (silent or otherwise) overnight.

Profilbild von Mihle
Mihlevor 9 Monaten

NSIP pattern..

Profilbild von Mohamed Hussien
Mohamed Hussienvor 9 Monaten

Fibrotic NSIP. I would ask if she suffers any joint pain for CTD

Profilbild von प्रणय विनोद
प्रणय विनोदvor 9 Monaten

NSIP. Look for skin changes for CTDs. Ask for history suggestive of Raynaud’s phenomenon.

Profilbild von karani G
karani Gvor 9 Monaten

FNSIP

Profilbild von selam
selamvor 9 Monaten

NSIP pattern

Profilbild von Danny Gomez
Danny Gomezvor 9 Monaten

NSIP consider CTD : ASS

Profilbild von abdraof86
abdraof86vor 9 Monaten

Bronchocentric ggo opacities and bronchiectasis cranial cadual graient ,subpleural sparing..long with fibrotic nsip

Profilbild von Aleksandar Ivanović
Aleksandar Ivanovićvor 9 Monaten

NSIP pattern. Given the sex and age, I would order work up for CTD.

Profilbild von Loren Hough
Loren Houghvor 9 Monaten

In such cases, it is recommended to discuss the characteristics with clinicians to develop a better management plan for the patient.

Profilbild von Edward Hannah
Edward Hannahvor 9 Monaten

The hrct pattern is consistent with usual interstitial pneumonia

Profilbild von Tobe Duru
Tobe Duruvor 9 Monaten

ground glass opacities, reticular pattern, honeycombing

Profilbild von IQbcICAN
IQbcICANvor 9 Monaten

scleroderma?

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