Fast Five Quiz: Idiopathic Pulmonary Fibrosis Imaging

Ani Kapoor, MD

Disclosures

April 30, 2020

Figure 1. Colored x-ray, idiopathic pulmonary fibrosis

The usual interstitial pneumonia (UIP) pattern on high-resolution CT (HRCT) scan is described as honeycombing with or without traction bronchiectasis and subpleural with basal predominance. Less commonly—in about 20% of patients—small, round opacities are seen.

Radiographic evidence of pleural diseases is not typical of IPF. Its presence should trigger suspicion for other conditions, such as asbestosis, rheumatoid pulmonary disease, or systemic lupus. Pulmonary hypertension is seen in the advanced, not early, stage of IPF.

Learn more about radiography in patients with IPF.

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