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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?

Dr Khaled Ahmed Abuzeid

41,427 subscribers

39,619 views • 9 months ago •via X (Twitter)

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13 Comments

Chris Streiler, MD9 months ago

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.

Mihle9 months ago

NSIP pattern..

Mohamed Hussien9 months ago

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

प्रणय विनोद9 months ago

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

karani G9 months ago

FNSIP

selam9 months ago

NSIP pattern

Danny Gomez9 months ago

NSIP consider CTD : ASS

abdraof869 months ago

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

Aleksandar Ivanović9 months ago

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

Loren Hough9 months ago

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

Edward Hannah9 months ago

The hrct pattern is consistent with usual interstitial pneumonia

Tobe Duru9 months ago

ground glass opacities, reticular pattern, honeycombing

IQbcICAN9 months ago

scleroderma?

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