Radiology Rounds

A Closer Look at Interstitial Lung Disease

  • Main Menu
  • Patient Case Studies: Radiological Journey and Multidisciplinary Approach
    • Case #1: IPF
      • Patient Background
      • Patient History
      • Physical Exam
      • Labs
      • Axial HRCT
      • Coronal HRCT
      • Sagittal HRCT
      • Case Study Discussion
    • Case #2: RA-ILD
      • Patient Background
      • Patient History
      • Physical Exam
      • Labs
      • RA-ILD Axial Image Series
      • Case Study Discussion
      • Surgical Lung Biopsy
      • Clinical Course
    • Case #3: Scleroderma
      • Patient Background
      • Patient History
      • Physical Exam
      • Labs
      • Axial HRCT
      • Coronal HRCT
      • Sagittal HRCT
      • Esophageal Dilation
      • Case Study Discussion
      • Follow-up Labs and Evaluation
    • Case #4: Chronic Hypersensitivity Pneumonitis
      • Patient Background
      • Patient History
      • Physical Exam
      • Labs
      • Axial Inspiratory HRCT – TLC
      • Axial Expiratory HRCT – RV
      • Coronal Inspiratory HRCT – TLC
      • Coronal Expiratory HRCT – RV
      • Sagittal HRCT
      • Case Study Discussion
      • Physician Recommends VATS Biopsy
      • When is it IPF?

Coronal Inspiratory HRCT – TLC

So, here we have the coronal cuts that have been taken on both inspiration and expiration. We notice that this patient does have a dilated esophagus, something to consider in our differential, but here we see a subpleural predominance of architectural distortion and regional reticulation, regional volume loss, and traction bronchiectasis. Again, there are areas with apparent increased blackness, further suggesting that we may have areas of air trapping.

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