Faces of Desquamative Interstitial Pneumonia (DIP)

Coronal CT- Desquamative Interstitial Pneumonia Diffuse Ground Glass Changes with Patchy Changes more Prominent at the Lung Bases
60-year-old male smoker with a history of progressive dyspnea. Coronal CT through the posterior lung fields at the level of the vertebral column shows extensive patchy ground glass changes and mosaic attenuation. A few of the secondary lobules show prominent centrilobular nodules reflecting a small airways component but the predominant pattern is an alveolar pattern
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 253Lu 136014c

Emphysema with Basilar Ground Glass Changes

CXR Desquamative Interstitial Pneumonia DIP and Emphysema with basilar Ground Glass Changes
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Frontal chest Xray shows diffuse bilateral interstitial disease characterised by coarsening of the lung markings and an enlarged main pulmonary artery (MPA). Path confirmed diagnosis of DIP.
Ashley Davidoff MD TheCommonVein.net 252Lu 135957

Mild Patchy Ground Glass Changes
Lower Lobe Predominant

CT Desquamative Interstitial Pneumonia (DIP) Patchy Ground Glass Changes
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Axial CT through the lower lung fields shows patchy ground glass changes in the middle lobe inferior ligula and lower lobes and some regions of mosaicism. Focal regions of interlobular septal thickening are noted left lower lobe (lower panel). Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135969c
CT Desquamative Interstitial Pneumonia (DIP) Emphysema Upper Lung Fields Patchy Ground Glass Changes Lower Lung Fields
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Coronal CT through the mid lung shows upper lobe centrilobular emphysematous disease and patchy ground glass changes in the lower lobes
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135990
CT Desquamative Interstitial Pneumonia (DIP) Emphysema Right Upper Lung Field- Patchy Ground Glass Changes Lower Lung Field
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Sagittal CT through the lateral right mid lung shows upper lobe posterior and superior segmental centrilobular emphysematous disease and ground glass changes in the anterior segment of the upper lobe and right lower lobe
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135998

Crazy Paving

CT Desquamative Interstitial Pneumonia (DIP) Diffuse Ground Glass Changes Lower Lung Fields and Interlobular Septal Thickening (Crazy Paving)
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Coronal CT through the posterior lungs shows diffuse ground glass changes in the lower lobes with interlobular septal thickening
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135997
CT Desquamative Interstitial Pneumonia (DIP) Patchy Ground Glass Changes and Mosaicism and Air Trapping – Inspiration Expiration Views
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Axial CT through the right posterior recesses at end inspiration (upper panel) and end expiration (lower panel) confirms the presence of air trapping indicating the presence of mild small airway disease
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135987