Table 1. HRCT findings in idiopathic pulmonary fibrosis (in relation to the usual interstitial pneumonia pattern).
| UIP | Probable UIP | Indeterminate for UIP | Alternative Diagnosis | |
|---|---|---|---|---|
| Distribution | • Subpleural inferior predominance • Might be asymmetrical and heterogeneous |
• Subpleural inferior predominance • Frequently heterogeneous |
• Diffuse (without subpleural predominance) | • Peribronchovascular • Perilymphatic • Upper or mid lung • Subpleural sparing |
| HRCT characteristics | • Honeycombing (with or without traction bronchiectasis) • Irregular thickening of interlobular septa • Superimposed to reticular pattern • Mild GGO • Might have pulmonary ossification |
• Reticular pattern with traction bronchiectasis • May have mild GGO (usually near areas of bronchiectasis) • Absence of subpleural sparing |
• HRCT features of lung fibrosis that do not suggest any diagnosis | • Lung findings: • Cysts • Mosaic attenuation • GGO predominance (might be found if diagnosed during an AE-IFP) • Centrilobular micronodules • Nodules • Consolidations • Mediastinal findings: • Pleural plaques • Dilated esophagus |
Based on Raghu et al. 3 ) UIP: usual interstitial pneumonia; GGO: ground-glass opacities; and AE-IPF: acute exacerbation of idiopathic pulmonary fibrosis.