70 yr old male ,non smoker,w with non productive cough, increasing dyspnea and fatigue. DIAGNOSE

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ANSWER USUAL INTERSTITIAL PNEUMONIA( UIP); INTERSTITIAL PULMONARY FIBROSIS( IPF)AKA CRYPTOGENIC FIBROSING ALVEOLITIS. D/ D Mixed Connective tissue and collagen vascular disorder with IPF Recurrent Bouts Of Aspiration Chronic PULMONARY drug toxicity Asbestos Chronic hypersensitivity pneumonitis FIBROSING NSIP

Can u tell on what basis on CT, we are saying uip pattern?
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usual interstitial pneumonia. dd interstitial lung fibrosis, cryptogenic fibrosing alveolitis

pattern is UIP. details history including details occupational history to be taken and investigations like serum CTD markers to establish an association. if no association/ etiology is found diagnosis is IPF

very good Sir
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ILD - UIP pattern Probably IPF.

very good sir
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Bronciactasis.

CT chest showing emphysematous lungs,honeycombing and reticulations more suggestive of ILD(UIP)

it's uip pattern bilateral peripheral patchy basal reticular opacity with honey combing and tractional bronchiectasis. in this case upper lobe involve it means extensive disease

interstitial pulmonary fibrosis alveolitis enlarge lymph nodes compressing bronchus.

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