Usual Interstitial Pneumonia (UIP)

Part 2 of my series on ILD. This video goes over the CT appearance of UIP using criteria published from the joint ARS/ERS/JRS/ALAT practice guidelines on IPF.
Jonathan Chung's CZcams Channel:
/ @jonathanchung4184
Textbooks I like for chest radiology-
Med students and all residents: Felson’s Principles of Chest Roentgenology
amzn.to/3FhBkvN
Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
amzn.to/2YqzLLh
Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
amzn.to/3ouJ7QY

[@bhoopathybalasubramanian9045]

Excellent,crisp and very informative talk,like your voice .Thanks

[@ShanyarHawrami]

Great video. Beautifully explained. Many thnaks.

[@maryamp3497]

Many thanks for your excellent and useful videos. 🙏🙏🙏🙏🙏

[@syedzaman1148]

thanks Sir, very good lecture, easy to understand.

[@moclack4058]

Excellent, great job sir

[@shabanalakhair2984]

Nicely explained video..
Thanks for such a nice video sir

[@allergy_doctor_]

Hey, its really nice and crisp..
And Can u please elaborate on fibrotic NSIP vs probable UIP pattern?

[@arjansingh5598]

This is Gold. 👏

[@kaushikn2038]

Great video!! Excited for the ILD series

[@ThoracicRadiology]

Thanks for watching!

[@freitastown]

Thanks a bunch, was very didactic and well exposed

[@itrollluimarcodaylee4751]

great! please do post more videos as they are exteremely useful

[@chinmoy11091987]

Beautiful ❤

[@khomeiniruhollah]

Thank you Dr

[@rolando0572]

excelent video regards from panama... this is a must see video for my residents

[@Gragon]

thanks. Waiting for more ILD

[@user-qp4ym2vb8c]

Love your videos

[@syphoresdrow5077]

Can you suggest me a book to learn more about this topic ?
Excellent video !!

[@nedjlabou4730]

Excellent! Thank you

[@ThoracicRadiology]

You are welcome!

[@johnclarke1836]

Thank you for your good work. You do a great job of explaining things that make it easy to understand and remember.
Sometimes I find myself struggling to differentiate between honeycombing from UIP and subpleural cystic regions from severe emphysema. Any words of wisdom for telling the difference?

[@ThoracicRadiology]

Yes, it can be very difficult some times esp since we know that a lot of patients with IPF are also smokers. In general, the craniocaudal location is helpful. Upper lung goes more with emphysema and lower lung goes more with honeycombing. Also, with honeycombing, the little septations between the dilated air spaces are usually thicker than what you see with emphysema. Emphysema, it is very thin wisps of tissue versus honeycombing which is thicker. Also, honeycombing tends to be smaller spaces compared to paraseptal emphysema in my experience.

[@johnclarke1836]

@@ThoracicRadiology thank you

[@giacoc5682]

thanks. I like your voice

[@mehranvarnaseri-oo9be]

Nice presentation

[@nkratochvil122]

Do you see cavitation with uip? Or Lip?

[@shrimadbhagvadgitashorts]

hypersensitivity pneumonitis
Treatment start methylprednisolone 8 mg 2 tablet morning 15 days after 15 days 1 and half tablet 15 days....
Fvc 2.64. 73%
Fev1 2.22. 79 %
Feb1/fvc. 84.09
Female
height 160 cm
Weight 56
Age. 63
Please reply 100 % recovery possible?
Fvc 73. To. 80+ possible?
hypersensitivity pneumonitis cure possible?

[@ThoracicRadiology]

hi, I'm not really sure. I think this is something you should ask your doctor.

[@Gragon]

Question. pleural plaques are common in asbestosis. Sarcoidosis is usualy mid lung perilymphatic - both are in alternative diagnosis yet you say that both diagnoses are typical UIP. Same goes to hypersensitivity pneumonitis which pattern is also differen to UIP. I dont understand how these are in typical UIP category 10:30

[@ThoracicRadiology]

Good question. These entities have a range of appearances. The classic appearance won't be confused for UIP, but not every case has the classic features. Also, most cases of radiologic UIP will have a clinical dx of IPF, but those things are in the ddx.

[@binavshrestha]

Please define honey-combing and how to differentiate with para septal emphysema and subpleural cysts.

[@ThoracicRadiology]

Honeycombing are dilated air spaces at the lung periphery and usually lung bases. Usually they are small and the walls between honeycombing are thick (fibrosis). Paraseptal emphysema will have thinner walls and usually are in the upper lungs. Subpleural cysts are usually much fewer in number than honeycombing. Emphysema and honeycombing can co-exist in the same patient too.

[@binavshrestha]

@@ThoracicRadiology does honey combing have any exact definition ?? In terms of size, number , stacking ??? Thank you for your response!! Love it

[@touseefbeig915]

Nice

[@beanbean7729]

The first video is the same as the second video