Chest Lectures

{"accessible":false,"alternatives":[{"id":11566,"text":"any fibrotic lung disease with a honeycombing appearance should be reported as \"typical UIP\""},{"id":11567,"text":"distribution is often patchy, with interspersed regions of normal peripheral lung"},{"id":11568,"text":"distribution is predominantly in the lower zone of the lungs"},{"id":11569,"text":"there is frequently a heterogeneous degree of coarseness, with both early fibrotic changes and end-stage fibrosis represented in the same patient"}],"archived":false,"correctAlternativeId":11566,"explanation":"\u003cp\u003eAlthough honeycombing occurs most commonly in “typical \u003ca href=\"/articles/usual-interstitial-pneumonia\"\u003eUIP\u003c/a\u003e”, it can be seen in other fibrotic lung diseases as well, such as \u003ca href=\"/articles/fibrotic-hypersensitivity-pneumonitis\"\u003efibrotic hypersensitivity pneumonitis\u003c/a\u003e.\u003c/p\u003e","id":2342,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2","nextQuestionPath":"/questions/2344","relatedArticles":[{"id":16895,"title":"Usual interstitial pneumonia","link":"/articles/usual-interstitial-pneumonia"},{"id":17181,"title":"Hypersensitivity pneumonitis","link":"/articles/hypersensitivity-pneumonitis"},{"id":11007,"title":"Non-specific interstitial pneumonia","link":"/articles/non-specific-interstitial-pneumonia-1"},{"id":43552,"title":"Idiopathic interstitial pneumonias: HRCT chest approach","link":"/articles/idiopathic-interstitial-pneumonias-hrct-chest-approach"},{"id":1431,"title":"Three attenuation pattern","link":"/articles/three-attenuation-pattern"},{"id":43571,"title":"Diagnostic HRCT criteria for usual interstitial pneumonia (UIP) pattern - ATS/ERS/JRS/ALAT (2018)","link":"/articles/diagnostic-hrct-criteria-for-usual-interstitial-pneumonia-uip-pattern-atsersjrsalat-2018"},{"id":68888,"title":"Interstitial lung abnormality","link":"/articles/interstitial-lung-abnormality"}],"alsoUsedIn":[{"id":1354,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1354","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1354"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":168,"kind":"LiveSchedule","title":"168","link":"https://radiopaedia.org/admin/live_schedules/168"},{"id":1291,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1291","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1291"},{"id":1291,"kind":"Course","title":"Chest Lectures - page 1291","link":"https://radiopaedia.org/courses/chest-lectures/pages/1291"},{"id":1291,"kind":"Course","title":"Content Previews - page 1291","link":"https://radiopaedia.org/courses/previews/pages/1291"},{"id":1291,"kind":"Course","title":"Lecture Collections - page 1291","link":"https://radiopaedia.org/courses/lecture-collections/pages/1291"}],"stem":"\u003cp\u003eWhich of the following about usual interstitial pneumonia (UIP) is \u003cstrong\u003eFALSE\u003c/strong\u003e?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2342"}],"attemptsPercentages":[{"alternativeId":"11568","percentage":3},{"alternativeId":"11569","percentage":7},{"alternativeId":"11567","percentage":13},{"alternativeId":"11566","percentage":77}],"promptToLogin":false,"questionManager":false,"displayNextQuestion":false,"displaySkipQuestion":false,"displayRelatedArticles":false,"contextType":"RestrictedPage","contextId":1291,"showAsPoll":false,"showAsPollResults":false}

{"accessible":false,"alternatives":[{"id":11574,"text":"air trapping, normal lung and ground glass densities are highly specific for the diagnosis"},{"id":11575,"text":"a pattern of fibrosis that is concordant with HP is termed \"axially diffuse\", implying both a peripheral and peribronchovascular distribution"},{"id":11576,"text":"evidence of airway involvement on CT, such as air trapping, is required as per the 2020 international clinical practice guideline for HP diagnosis"},{"id":11577,"text":"fibrotic HP commonly has an upper zone predominance"}],"archived":false,"correctAlternativeId":11577,"explanation":"\u003cp\u003eOnly a small minority of cases of \u003ca href=\"/articles/fibrotic-hypersensitivity-pneumonitis\"\u003efibrotic HP\u003c/a\u003e have a pure upper zone predominance. When present, this is a useful differentiator, but other features should be relied upon for initial interpretation.\u003c/p\u003e","id":2344,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2","nextQuestionPath":"/questions/2345","relatedArticles":[{"id":16895,"title":"Usual interstitial pneumonia","link":"/articles/usual-interstitial-pneumonia"},{"id":17181,"title":"Hypersensitivity pneumonitis","link":"/articles/hypersensitivity-pneumonitis"},{"id":11007,"title":"Non-specific interstitial pneumonia","link":"/articles/non-specific-interstitial-pneumonia-1"},{"id":43552,"title":"Idiopathic interstitial pneumonias: HRCT chest approach","link":"/articles/idiopathic-interstitial-pneumonias-hrct-chest-approach"},{"id":1431,"title":"Three attenuation pattern","link":"/articles/three-attenuation-pattern"},{"id":43571,"title":"Diagnostic HRCT criteria for usual interstitial pneumonia (UIP) pattern - ATS/ERS/JRS/ALAT (2018)","link":"/articles/diagnostic-hrct-criteria-for-usual-interstitial-pneumonia-uip-pattern-atsersjrsalat-2018"},{"id":68888,"title":"Interstitial lung abnormality","link":"/articles/interstitial-lung-abnormality"},{"id":98325,"title":"Fibrotic hypersensitivity pneumonitis","link":"/articles/fibrotic-hypersensitivity-pneumonitis"}],"alsoUsedIn":[{"id":1354,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1354","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1354"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":168,"kind":"LiveSchedule","title":"168","link":"https://radiopaedia.org/admin/live_schedules/168"},{"id":1291,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1291","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1291"},{"id":1291,"kind":"Course","title":"Chest Lectures - page 1291","link":"https://radiopaedia.org/courses/chest-lectures/pages/1291"},{"id":1291,"kind":"Course","title":"Content Previews - page 1291","link":"https://radiopaedia.org/courses/previews/pages/1291"},{"id":1291,"kind":"Course","title":"Lecture Collections - page 1291","link":"https://radiopaedia.org/courses/lecture-collections/pages/1291"}],"stem":"\u003cp\u003eWhich of the following is \u003cstrong\u003eFALSE\u003c/strong\u003e in fibrotic hypersensitivity pneumonitis (HP)?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2344"}],"attemptsPercentages":[{"alternativeId":"11575","percentage":15},{"alternativeId":"11574","percentage":11},{"alternativeId":"11577","percentage":56},{"alternativeId":"11576","percentage":17}],"promptToLogin":false,"questionManager":false,"displayNextQuestion":false,"displaySkipQuestion":false,"displayRelatedArticles":false,"contextType":"RestrictedPage","contextId":1291,"showAsPoll":false,"showAsPollResults":false}

{"accessible":false,"alternatives":[{"id":11578,"text":"all ground glass opacities in NSIP indicate reversible disease"},{"id":11579,"text":"prone imaging is less useful in NSIP than in other forms of fibrotic lung disease"},{"id":11580,"text":"subpleural sparing can be lost in severe extent disease"},{"id":11581,"text":"true idiopathic presentation is the most common etiology"}],"archived":false,"correctAlternativeId":11580,"explanation":"\u003cp\u003e\u003ca href=\"/articles/subpleural-sparing\"\u003eSubpleural sparing\u003c/a\u003e\u0026nbsp;is best appreciated in early disease, but can be lost in severe, late stage disease. This\u0026nbsp;highlights\u0026nbsp;the critical importance of reviewing oldest available imaging when interpreting these cases.\u003c/p\u003e\u003cp\u003e\u003ca href=\"/articles/non-specific-interstitial-pneumonia-1\"\u003eNSIP\u003c/a\u003e is most commonly seen as a complication of connective tissue disease. Prone imaging is often used in the work-up as it allows accurate assessment of the disease's extent, especially when low-volume disease is common.\u0026nbsp;The finding of \u003ca href=\"/articles/ground-glass-opacification-3\"\u003eground glass opacity\u003c/a\u003e, when superimposed on \u003ca href=\"/articles/reticular-interstitial-pattern\"\u003ereticulation\u003c/a\u003e or \u003ca href=\"/articles/traction-bronchiectasis\"\u003etraction bronchiectasis\u003c/a\u003e, suggests fine fibrosis below the resolution of CT, whereas ground glass opacity distant to features of established fibrosis is likely to be reversible with treatment.\u003c/p\u003e","id":2345,"imageUrl":null,"imageAttribution":null,"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2","nextQuestionPath":"/questions/2346","relatedArticles":[{"id":16895,"title":"Usual interstitial pneumonia","link":"/articles/usual-interstitial-pneumonia"},{"id":11007,"title":"Non-specific interstitial pneumonia","link":"/articles/non-specific-interstitial-pneumonia-1"},{"id":43552,"title":"Idiopathic interstitial pneumonias: HRCT chest approach","link":"/articles/idiopathic-interstitial-pneumonias-hrct-chest-approach"},{"id":1431,"title":"Three attenuation pattern","link":"/articles/three-attenuation-pattern"},{"id":68888,"title":"Interstitial lung abnormality","link":"/articles/interstitial-lung-abnormality"}],"alsoUsedIn":[{"id":1354,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1354","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1354"},{"id":1200,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1200","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1200"},{"id":248,"kind":"LiveSchedule","title":"248","link":"https://radiopaedia.org/admin/live_schedules/248"},{"id":168,"kind":"LiveSchedule","title":"168","link":"https://radiopaedia.org/admin/live_schedules/168"},{"id":1291,"kind":"Course","title":"2022 Virtual Conference Private Use - page 1291","link":"https://radiopaedia.org/courses/2022-virtual-conference-private-use/pages/1291"},{"id":1291,"kind":"Course","title":"Chest Lectures - page 1291","link":"https://radiopaedia.org/courses/chest-lectures/pages/1291"},{"id":1291,"kind":"Course","title":"Content Previews - page 1291","link":"https://radiopaedia.org/courses/previews/pages/1291"},{"id":1291,"kind":"Course","title":"Lecture Collections - page 1291","link":"https://radiopaedia.org/courses/lecture-collections/pages/1291"}],"stem":"\u003cp\u003eWhich of the following about non-specific interstitial pneumonia (NSIP) is true?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/2345"}],"attemptsPercentages":[{"alternativeId":"11578","percentage":10},{"alternativeId":"11579","percentage":7},{"alternativeId":"11581","percentage":13},{"alternativeId":"11580","percentage":70}],"promptToLogin":false,"questionManager":false,"displayNextQuestion":false,"displaySkipQuestion":false,"displayRelatedArticles":false,"contextType":"RestrictedPage","contextId":1291,"showAsPoll":false,"showAsPollResults":false}