6 Patterns > Fibrosis Pattern > Additional Features > w/ Variable Involvement

Fibrosis w/ Variable Involvement

Click the image your case is most similar to:

 

Usual Interstitial Pneumonia


Chronic Hypersensitivity Pneumonitis


Pneumoconiosis


Connective Tissue Disease


Image_237 copy.jpg

Other Variable Fibrosis Diseases

  • Sarcoidosis/Beryllosis

  • IgG4 Disease

  • Erdheim-Chester Disease

  • Hermansky-Pudlak Syndrome

  • Pleuroparenchymal fibroelastosis

  • Pulmonary Langerhans Cell Histiocytosis


Sample Signout

If no additional specific histologic features are identified, consider the following approach to signing the case out:

Fibrosing Interstitial pneumonia (see comment).

Comment:  The biopsy shows advanced fibrosis with architectural distortion.  No additional specific histologic features to indicate an etiology are identified.  There is a broad differential diagnosis including UIP, chronic HP, CTD-associated ILD, and pneumoconiosis among others.  The diagnosis of ILD requires a multidisciplinary approach.  Correlation with imaging studies and clinical history is suggested.