Ncl Lung

Question 1

Reticulation in posterior subpleural bases

Answer 1

Early UIP

Question 2

Traction bronchiectasis and subpleural honeycombing, in lung bases

Answer 2

Late UIP

Question 3

Difference between UIP and probable UIP?

Answer 3

Probable UIP doesn’t have honeycombing

Question 4

Basal predominant peribronchial reticulation and ground glass opacities

Answer 4

NSIP, most with subpleural sparring. Fibrotic type might involve subpleural

Question 5

Consolidation or GG opacities in a peripheral and peribronchovascular distribution, possibly reverse halo

Answer 5

Organizing pneumonia

Question 6

Innumerable subcentimeter centrilobular GG nodules, particularly in lung apices

Answer 6

RB-ILD

Question 7

Diffuse basal-predominant GG opacities, with possible cysts

Answer 7

DIP

Question 8

Extensive geographic GG opacities

Answer 8

Early (exudative) Acute interstitial pneumonia, pulmonary edema, hemorrhage, infections, ARDS

Question 9

GG opacities with alveolar wall thickening

Answer 9

Chronic (organizing) AIP

Question 10

Diffuse GG opacities with mosaic attenuation, diffuse small GG centrilobular nodules, upper lobe predominant

Answer 10

Acute/subacute HP

Question 11

Upper lobe predominant peribronchovascular fibrosis with GG centrilobular nodules and opacities, and mosaic attenuation

Answer 11

Chronic HP

Question 12

Multiple upper-lobe predominant perilymphatic nodules, possible egg shell lymph node calcifications

Answer 12

Silicosis or coal workers pneumoconiosis

Question 13

Multiple upper lobe dominant perilymphatic nodules with large conglomerate masses 

Answer 13

Complicated silicosis or complicated coal workers pneumoconiosis

Question 14

RA with silicosis

Answer 14

Caplan syndrome

Question 15

UIP with pleural plaques

Answer 15

Asbestosis

Question 16

Patchy upper lobe predominant consolidations that may cross fissures

Answer 16

Chronic eosinophilic pneumonia

Question 17

Basal predominant ground glass, mild septal thickening, possible nodular foci with cavitation

Answer 17

Pulmonary vasculitis

Question 18

Upper lobe predominant perilymphatic nodules, bilateral. Hilar adenopathy.

Answer 18

Sarcoidosis

Question 19

Diffuse Multiple irregular upper lobe predominant cysts with multiple small nodules

Answer 19

Pulmonary langerhans histiocytosis

Question 20

Multiple round regular lung cysts

Answer 20

Lymphangioleiomyomatosis (LAM), particularly in women

Question 21

Lower lobe Patchy GG opacities, scattered perivascular cysts

Answer 21

Lymphoid interstitial pneumonia (LIP), associated with Sjogrens

Question 22

Circumferential tracheal thickening, ddx?

Answer 22

TB, amyloidosis (has calcs), GPA, sarcoidosis

Question 23

Tracheal thickening, sparring posterior, ddx?

Answer 23

Relapsing polychrondritis, tracheobronchopathia osteochobdroplastics (nodular calcs)