110Lu NSIP and Scleroderma

59 YO M with history of scleroderma, , Raynaud’s disease,ILD, pulmonary HTN, HTN, DM, HFrEF presents for follow up

The interstitial lung disease appears stable and is characterized by
findings which are in keeping with NSIP including diffuse groundglass changes, subpleural sparing, bronchiolectasis, the absence of honeycombing, and predominant involvement of the lower lobes

There is evidence of pulmonary hypertension characterized by a stable and enlarged main pulmonary artery measuring 3.4 cm

There is evidence of esophageal disease characterized by patulous
esophagus with air-fluid level suggesting reflux

 

 

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
CXR shows basilar reticular changes and low lung volumes
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Lateral CXR shows basilar reticular changes and suggestion of left ventricular enlargement
Ashley Davidoff MD TheCommonVein.net

Basilar Reticular Changes and Dilated Esophagus

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Coronal CT shows basilar reticular changes and dilated esophagus
Ashley Davidoff MD TheCommonVein.net

 

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Coronal CT shows symmetrical bibasilar reticular change, bronchovascular thickening , ground glass changes and subpleural sparing, all features characteristic of NSIP
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Coronal CT shows symmetrical bibasilar reticular change, ground glass changes and subpleural sparing, all features characteristic of NSIP
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows peripheral reticular changes, in the right upper lobe.  Note air-fluid level in the distended esophagus
Ashley Davidoff MD TheCommonVein.net

 

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows peripheral reticular changes, and bronchiolectasis in the right upper lobe
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows peripheral reticular changes, ground glass, and subpleural sparing posteriorly.
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows peripheral reticular changes, ground glass, bronchiolectasis, volume loss with crowding of the bronchovascular bundles posteriorly and subpleural sparing posteriorly. Note air-fluid level in the distended esophagus
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows peripheral reticular changes, ground glass, bronchiolectasis at both lung bases, volume loss with crowding of the bronchovascular bundles posteriorly and subpleural sparing posteriorly. Note air-fluid level in the distended esophagus.
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows, ground glass changes, bronchiolectasis at both lung bases, volume loss with crowding of the bronchovascular bundles posteriorly and subpleural sparing posteriorly. Note air-fluid level in the distended esophagus.
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Axial CT shows evidence of pulmonary hypertension characterized by a stable and enlarged main pulmonary artery measuring 3.4 cm.
Ashley Davidoff MD TheCommonVein.net

 

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Sagittal CT shows, ground glass changes, bronchiolectasis at the lung base, volume loss with crowding of the bronchovascular bundles posteriorly and subpleural sparing posteriorly.
Ashley Davidoff MD TheCommonVein.net
59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Sagittal CT shows, ground glass changes, bronchiolectasis at the lung base, volume loss with crowding of the bronchovascular bundles posteriorly and subpleural sparing posteriorly.
Ashley Davidoff MD TheCommonVein.net

 

59-year-old male presents with history of scleroderma, , Raynaud’s disease, and ILD
Sagittal CT shows, ground glass changes, bronchiolectasis at the lung base, volume loss with crowding of the bronchovascular bundles posteriorly.
Ashley Davidoff MD TheCommonVein.net