Weekly Chest CasesArchive of Old Cases

Case No : 544 Date 2008-03-31

  • Courtesy of Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 64 / F
  • Chief ComplaintDry cough for 4 months
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Usual interstitial pneumonia
Radiologic Findings
Chest PA shows diffuse reticular opacites in both lungs,
predominantly involving subpleural and lower lung zones.
HRCT shows intra and inter lobular septal thickening in subpleural portion of both lungs. Note honeycombing in both lower lobes.
Brief Review
Open lung biopsy was done
On pathology examination
- Patchy appearance; marked variation in histologic appearance from one area to another
- honeycomb change
- Dense fibrosis
- Scanty interstitial inflammation
- Smooth muscle hyperplasia
- Fibroblastic foci
Findings are consistent with UIP
References
Keywords
Lung, Idiopathic interstitial pneumonia, UIP, IIP,

No. of Applicants : 92

▶ Correct Answer : 59/92,  64.1%
  • - Samsung Medical Center , Korea (South) Dae Kun Oh
  • - Shiga University of Medical Science , Japan Norihisa Nitta
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - EKH-Berlin , Germany Michael Weber
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Almana.G.Hospital , Saudi Arabia Jamal Abazid
  • - CREM , Tunisia triki rached
  • - CHRU lille , France manuel toledano
  • - MEDINOVA DIAGNOSTICS , India Harsha NS
  • - Auckland City Hospital , New Zealand (Aotearoa) Remy Lim
  • - Shinsegye Rad Clinic, Daegu, Korea , Korea (South) Gi Beom Kim
  • - Vitalife Clinics , Pune , India. , India rahul deshmukh
  • - Maimonides Medical Center , United States naomi twersky
  • - National Taiwan University Hospital , Taiwan chi-hsien chen
  • - Lou-Tung Poh-Ai Hospital , Taiwan Chen Chia
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - National Taiwan University Hospital , Taiwan Bin Chen
  • - SNUH , Korea (South) Mi-Jin Kang
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - Chungnam National University hospital , Korea (South) Kyoung Jin Oh
  • - Jiangsu Prov Official Hosp , China dong jin
  • - Asan medical center , Korea (South) Dae Yoon Kim
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - Command Hospital (Eastern Command) , India Vivek Sharma
  • - Lilavati Hospital & Research Centre , India Mahavir Swami
  • - National Taiwan University Hospital , Taiwan Nin Chieh Hsu
  • - Konkuk university hospital , Korea (South) Jeong Geun Yi
  • - Hopital universitaire Lausanne , Switzerland abed kourhani
  • - Clinic 1, Moscow , Russian Federation Lepikhina Darya
  • - suwon baiksung hospital , Korea (South) cheolyoung kim
  • - Aba Prefecture People Hospital , China pu peng
  • - CHU GRENOBLE , France anne-line MORONI
  • - radiology department ANNECY , France gilles GENIN
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Daegu Fatima Hospital , Korea (South) Tae-Hun Kim
  • - Homs National Hospital , Syria Rami Abou zalaf
  • - EKH-Berlin , Germany Holger Hartmann
  • - lilavati hospital and research center , India dr vivek gupta
  • - Apollo Hospital, Ahmedabad. , India Sandip Shah
  • - CH de la Ce Basque , France Paul ARDILOUZE
  • - Cheongshim international medical center , Korea (South) yang jum
  • - yashodha hospital , India pravin mahadevappa
  • - Louisiana State University - Shreveport , United States Carlos Previgliano
  • - rizgari teaching hospital , Iraq Saeed Younis
  • - OSWAL CANCER HOSPITAL , India LOVKESH MITTAL
  • - Jackson Memorial Hospital , United States Naganathan Mani
  • - MAX HEALTH CARE , India vickrant malhotra
  • - E-DA Hospital / I-Shou University , Taiwan Yu-Feng Wei
  • - Private Clinic , Bahamas Trupti Dabholkar
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - ULTRA CARE , India Debabrata Das
  • - IRSA LA ROCHELLE FRANCE , France jean BIGOT
  • - IRSA La Rochelle France , France Denis Chabassie
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - All India Institute of medical sciences , India Justin Moses
▶ Correct Answer as Differential Diagnosis : 21/92,  22.8%
  • - , Korea (South) kim hyoung
  • - Shinchon Severance Hospital , Korea (South) Ho-Joon Lee
  • - Marien Hospital , Germany Davis Chiramel
  • - Shin Kong Wu Ho-Su Memorial Hospital , Taiwan CHEN-CHUN LIN
  • - Pe d , France Fabrice Bing
  • - hospital Sao Paulo , Brazil israel missrie
  • - Saga University, Japan , Japan Ryoko Egashira
  • - Deenanath Mangeshkar Hospital, Pune , India anubhav khandelwal
  • - Ansan Hando hospital , Korea (South) Hyun Seok Lee
  • - Mackay Memorial Hospital , Taiwan Shen ShengYeh
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - Regional Imaging Ltd. - Riverina , Australia Rashid Hashmi
  • - Trakya University School of Medicine , Turkey Derya Demir
  • - Soonchunhyang university Bucheon hospital , Korea (South) Minhee Lee
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Kashan University of Medical Sciences, kashan, Iran , Iran Ebrahim Razi
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - Depatment of Radiology, Yongsan Hospital, College of Medicine, Chung-Ang University , Korea (South) Jae Seung Seo
▶ Semi-Correct Answer : 9/92,  9.8%
  • - Trakya Univercity School of Medicine , Turkey armagan sarac
  • - Osaka University , Japan Osamu Honda
  • - Flinders Medical Centre , Australia Won-kyung Sung
  • - Yonsei university Shinchon Severance hospital , Korea (South) Na-young Shin
  • - apollo hospitals , India harish bhambore
  • - ROHINI Scans (P) Ltd. Ambattur, Chennai , India Umapathi Mahesh
  • - Yonsei University college of medicine Severance hospital, Seoul, Korea , Korea (South) Hua Sun Kim
  • - Mokpo HanKook Hospital , Korea (South) Sang Uk Park
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
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