Question 1587
{"accessible":true,"alternatives":[{"id":7905,"text":"UIP pattern"},{"id":7906,"text":"probable UIP pattern"},{"id":7907,"text":"indeterminate for UIP pattern"},{"id":7908,"text":"alternative diagnosis "}],"archived":false,"correctAlternativeId":7905,"explanation":"\u003cp\u003eBilateral subpleural reticulation is identified, predominantly in lower lobes, with traction bronchiectasis and associated volume loss. Only with these findings, the diagnosis would be of probable usual interstitial pneumonia (UIP)\u0026nbsp;pattern. However, the addition of honeycombing, which is also present on the CT, makes the correct diagnosis a \u003cstrong\u003edefinite UIP pattern\u003c/strong\u003e, according to ATS/ERS/JRS/ALAT consensus criteria (2018).\u003c/p\u003e\u003cp\u003eThere are no inconsistent findings for UIP (e.g. cysts, predominance of ground-glass opacification, predominance in upper lobes) nor findings suggesting an alternative diagnosis.\u003c/p\u003e\u003cp\u003eIn addition, the patient has a history of rheumatoid arthritis. The most frequent interstitial lung disease in rheumatoid arthritis is UIP, while in the rest of rheumatological diseases is non-specific interstitial pneumonia (NSIP).\u003c/p\u003e","id":1587,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/118/niu_radiopaedia_big_gallery.jpeg","imageAttribution":{"kind":"own","user_id":45033,"user_param":"edlomar","user_name":"Edgar Lorente"},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2373","nextQuestionPath":null,"relatedArticles":[{"id":12369,"title":"Rheumatoid arthritis","link":"/articles/rheumatoid-arthritis?lang=us"},{"id":11007,"title":"Non-specific interstitial pneumonia","link":"/articles/non-specific-interstitial-pneumonia-1?lang=us"},{"id":12432,"title":"Rheumatoid arthritis (pulmonary manifestations)","link":"/articles/rheumatoid-arthritis-pulmonary-manifestations-1?lang=us"},{"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?lang=us"}],"alsoUsedIn":[{"id":246,"kind":"Course","title":"Interstitial lung disease: case review","link":"https://radiopaedia.org/courses/interstitial-lung-disease-case-review"},{"id":662,"kind":"Course","title":"Lectures by Jonathan Chung - page 662","link":"https://radiopaedia.org/courses/lectures-by-jonathan-chung/pages/662"},{"id":662,"kind":"Course","title":"Chest Imaging Lecture Package - page 662","link":"https://radiopaedia.org/courses/chest-imaging-lecture-package/pages/662"},{"id":662,"kind":"Course","title":"Radiopaedia 2020 - Lectures Only - page 662","link":"https://radiopaedia.org/courses/radiopaedia-2020-exclusive/pages/662"},{"id":662,"kind":"Course","title":"Chest Lectures - page 662","link":"https://radiopaedia.org/courses/chest-lectures/pages/662"},{"id":662,"kind":"Course","title":"2020 Virtual Conference Private Use - page 662","link":"https://radiopaedia.org/courses/2020-virtual-conference-private-use/pages/662"}],"stem":"\u003cp\u003eThis 65-year-old woman with rheumatoid arthritis presents with progressive dyspnea for the last few months. Non-contrast chest CT is performed. What is the most likely diagnosis?\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/1587"}],"attemptsPercentages":[{"alternativeId":"7905","percentage":81},{"alternativeId":"7908","percentage":4},{"alternativeId":"7906","percentage":13},{"alternativeId":"7907","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"usual-interstitial-pneumonia"}