000 NSIP Fibrotic

Fibrotic NSIP
Broncho vascular distribution associated with increased reticular changes, more prominent traction bronchiectasis, decreased lung volumes , and decreased lung volumes,  dominantly in the lower lobes but to some extent in the middle lobe and upper lobes.  Pulmonary hypertension becomes more common.
Ashley Davidoff MD TheCommonvein.net lungs-0771d
  • In Fibrotic NSIP
    • presence of fibrosis or
    • scarring within the lung tissue.
    • worse prognosis
    • more severe respiratory symptoms,
    • lower lung function, and a
    • greater likelihood of developing pulmonary hypertension.
      • CT
        • shows more pronounced and
        • diffuse reticular opacities and
        • traction bronchiectasis, with
        • less ground-glass opacities
        • fibrotic changes may be
          • more extensive and involve
          • larger areas of the lung tissue.
        • may also be
          • honeycombing in advanced cases
  • Volume Loss
    • due to the presence of
    • extensive fibrosis results in
      • distortion and stiffening of the lung parenchyma,
    • leading to a
      • reduction in lung compliance
        • decrease in
          • total lung capacity (TLC), and
          • functional residual capacity (FRC),

.

SCLERODERMA, NSIP , CALCINOSIS -GROUND GLASS, TRACTION BRONCHIECTASIS 
The degree of volume loss reticular change dominant over the ground glass changes suggest the fibrotic form of NSIP 
Ashley Davidoff MD TheCommonVein.net 131500.8
SCLERODERMA, NSIP , CALCINOSIS -GROUND GLASS, TRACTION BRONCHIECTASIS 
The degree of volume loss reticular change dominant over the ground glass changes suggest the fibrotic form of NSIP 
Ashley Davidoff MD TheCommonVein.net 131503.8