Case 98: Acute Increased Dyspnea in Idiopathic Pulmonary Fibrosis - First Considerations

A stepwise approach to suspected acute exacerbation in fibrosing ILDs helps in reaching a diagnosis

Bhavin Jankharia

Table of Contents

Index and Table of Contents
Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…

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Case 97: How to Identify and Diagnose Miliary TB as a Cause of ARDS
Milary TB can be diagnosed as a cause of ARDS by evaluating the least involved areas, usually the apices

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A 69-years old ex-smoker presented with breathlessness in 2020.

He had UIP/IPF.

He progressed over the next 3 years.

One day in 2024, he presented with acute increased dyspnea.

Thoughts?

  1. Acute exacerbation
  2. Acute infection
  3. Pulmonary edema/cardiac failure?

The video below discusses this case and the final outcome.


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ILDIPFUIPAcute ExacerbationPulmonary Edema

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Featured Posts

Case 98: Acute Increased Dyspnea in Idiopathic Pulmonary Fibrosis - First Considerations

Case 97: How to Identify and Diagnose Miliary TB as a Cause of ARDS

Case 96: When it Runs in the Family

Lecture: NSIP and OP

Lecture: How to Approach a Patient with Interstitial Lung Abnormality (ILA)

Case 95: When the Nodule is an Island

Lecture: Imaging of Sarcoidosis

Snippet: The Jellyfish and Multiple Pleural Tag Signs

Lecture: CT of Hypersensitivity Pneumonitis

Case 94: How Early is Early...

Case 93: The Asymmetric Chest Wall

Lecture: Lung Cancer Screening in a TB Endemic Country

REF-Cafe Roentgen Thoracic Thursday Lecture - XII - 26th Oct 2023: Mediastinum

Case 92: New Ground Glass in a Patient with a Fibrosing ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - XI - 19th Oct 2023: Non-Resolving Opacity

Case 91: Bubble Lucencies, Central Lucencies, Bubbly Consolidation

Case 90: The Probable UIP Conundrum - Time Matters

REF-Cafe Roentgen Thoracic Thursday Lecture - X - 21st Sep 2023: Solitary Pulmonary Nodule - III - Subsolid Nodule

Case 89: Diaphragmatic Dysfunction – Eventration, Paralysis…Does it Matter

REF-Cafe Roentgen Thoracic Thursday Lecture - IX - 14th Sep 2023: Solitary Pulmonary Nodule - PFN, Juxtrapleural Nodule, Nodules in Smokers and Lung-RADs

REF-Cafe Roentgen Thoracic Thursday Lecture - VIII - 07th Sep 2023: Solitary Pulmonary Nodule > 8 mm

Snippet 17: How to Diagnose Subtle Progression of Interstitial Lung Disease at the Secondary Pulmonary Lobule Level

Case 88: Flour Mill Worker Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VII - 10th Aug 2023: Diffuse Cystic Lung Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VI - 03rd Aug 2023: Smoking Related Lung Diseases

Snippet 16: Inflammatory vs Fibrotic ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - V - 20th July 2023: All About the Centrilobular Nodule

REF-Cafe Roentgen Thoracic Thursday Lecture - IV - 13th July 2023: Non-ILD Diffuse Lung Diseases

Case 87: Thymic Cyst or Cystic Thymoma

REF-Cafe Roentgen Thoracic Thursday Lecture - III - 29th June 2023: Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - II - 22nd June 2023: Fibrosing ILDs - contd & Introduction to Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - I: Fibrosing ILDs - 2023 06 15

Approach to Small Diffuse Lung Nodules - Lecture

Snippet 09: Variant Fibrosis

Snippet 08: Mosaic Attenuation

Snippet 04: Fibrotic NSIP vs Probable UIP

Snippet 02: Centrilobular / Bronchocentric Nodules

Snippet 01: Differentiating Traction Bronchiectasis from Honeycombing