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

New ground glass in a patient with a fibrosing ILD with acute worsening is worrisome

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…
CT Chest ReviewBhavin Jankharia

Previous Case - For all Members till 03 Nov 2023

Case 91: Bubble Lucencies, Central Lucencies, Bubbly Consolidation
Bubble and central lucencies and bubby consolidation are signs that suggest a slew of entities all characterized by differential low densities
CT Chest ReviewBhavin Jankharia

Previous Thoracic Thursday Lecture - Non-Resolving Opacity - Free for All

REF-Cafe Roentgen Thoracic Thursday Lecture - XI - 19th Oct 2023: Non-Resolving Opacity
The eleventh lecture of the series
CT Chest ReviewBhavin Jankharia

Current Case

A 67-years old patient presented with gradually progressive breathlessness.

A CT scan was done.

Thoughts?

  1. Probable UIP/IPF
  2. Typical UIP/IPF
  3. Fibrotic hypersensitivity pneumonitis
  4. Interstitial lung abnormality (ILA)

He then presented with acute onset worsening.

Thoughts?

  1. Acute exacerbation
  2. Infection
  3. Medication induced pulmonary injury
  4. Cardiac failure

The video below discusses this case in detail.

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Snippet 22: What Defines an Ideal CT for Diffuse Lung Diseases

Case 111: ILD with Cysts in Sjogren's

Case 110: The Chylothorax Conundrum

Case 109: When a Virtual Biopsy is Sometimes Accepted, Sometimes Not…Our Job is to Point Physicians/Surgeons in the Right Direction

Case 108: Approaching a Patient with PH - It Shouldn’t Be So Difficult!

Case 107: Why LLMs Will Render Many Radiologists and their Reports Irrelevant…

Case 106: A Specific Pattern of Ground Glass in an Infant

Case 105: The Pseudo-Miliary Appearance

Case 104: Popcorn is the Classic Appearance, but Not Always

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Case 103: SFTP

Snippet 20: Practical Approach to Diffuse Cystic Lung Diseases

Case 102: Tracheobronchial Tuberculosis

Lecture: Risk Stratification of Lung Nodules

Case 101: When the Pattern of Lung Disease Gives a Clue to the Diagnosis

Snippet 19: The Various Uses of Prone Imaging

Case 100: CT of Covid-19...4 Years and 3 Months Later

Case 99: A Cleft Lung Puzzle

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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

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Case 93: The Asymmetric Chest Wall

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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

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Snippet 09: Variant Fibrosis

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Snippet 01: Differentiating Traction Bronchiectasis from Honeycombing

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Bhavin Jankharia