Advertisement

Linear Opacities

  • Eva Kocova
  • Vladimir Bartos
  • Martina Sterclova
  • Jana Votrubova
  • Filip Ctvrtlik
  • Monika Zurkova
  • Vladimíra Lostakova
Chapter

Non-specific Interstitial Pneumonia

  • Eva Kocova
  • Vladimir Bartos

In the last 3 months, she had difficulties to take a deep breath at exertion, and had a dry cough.

Medical History

  • None significant, not on long-term medication

Occupational History and Exposure

  • Medical doctor, without occupational exposures

  • Lives with family in a block of flats, without pets

  • Social history: From the age of 20 to 62 years, smoked 2 cigarettes a day

History of Present Compliant

  • Over the last 3 months, she has been feeling as if she is unable to breathe in fully during exertion. Has a dry non-productive cough. The patient presents without joint symptomatology or manifestations of systemic connective tissue disease.

Objective Finding

  • Vesicular breathing, with bi-basal crepitations. Clubbing of the nails is not present. Otherwise physiological findings.

Examination

Lung Functional Tests

  • VC 4.34 L/133% (ref. v), FEV1 3.27 L/117% (ref. v), Tiff. 75%, TLC 5.76 L/103% (ref. v), DLCO 67% (ref. v).

  • Normal parameters...

Further Reading

  1. Camus P, Thuesen J, Hansell DM, Colby TV. Pleuroparenchymal fibroelastosis: one more walk on the wild side of drugs? Eur Respir J. 2014;44:289–96.CrossRefGoogle Scholar
  2. Chae KJ, Jin CY, Jung HN, Kwon KS, Choi H, et al. Differentiating smoking-related interstitial fibrosis (SRIF) from usual interstitial pneumonia (UIP) with emphysema using CT features based on pathologically proven cases. PLoS ONE. 2016;11:e0162231.CrossRefGoogle Scholar
  3. Ghafoori P, Marks LB, Vujaskovic Z, Kelsey CR. Radiation induced lung injury: assessment, management and prevention. Oncol J. 2008;22:37–47. From Jan 2017: https://www.cancernetwork.com/lung-cancer/radiation-induced-lung-injury-assessment-management-and-prevention.Google Scholar
  4. Ghio JA, Soukup JM, Dailey LA, Tong H, Kesic MJ, et al. Wood smoke particle sequesters cell iron to impact on biological effect. Chem Res Toxicol. 2015;28:2104–11.CrossRefGoogle Scholar
  5. Higland KB, Heffner JE. Pleural effusion in interstitial lung disease. Curr Opin Pulm Med. 2004;10:390–6.CrossRefGoogle Scholar
  6. Reddy TL, Tominaga M, Hansell DM, Thusen J, Rassi D, et al. Pleuroparenchymal fibroelastosis: a spectrum of histopathological and imaging phenotypes. Eur Respir J. 2012;40:377–85.CrossRefGoogle Scholar
  7. Travis WD, Hunninghake G, King TE, Lynch DA, Colby TV, Galvin JR, et al. Idiopathic nonspecific interstitial pneumonia. Am J Resp Crit Care Med. 2008;177:1338–47.CrossRefGoogle Scholar
  8. Vasakova M, Morell F, Walsh S, Leslie K, Raghu G. Hypersensitivity pneumonitis—novel approach to diagnosis. Am J Resp Crit Care Med. 2017;196(6):680–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Eva Kocova
    • 1
  • Vladimir Bartos
    • 2
  • Martina Sterclova
    • 3
  • Jana Votrubova
    • 4
  • Filip Ctvrtlik
    • 5
  • Monika Zurkova
    • 6
  • Vladimíra Lostakova
    • 6
  1. 1.Department of RadiologyCharles University, Faculty of Medicine in Hradec Králové, University Hospital Hradec KrálovéHradec KrálovéCzech Republic
  2. 2.Department of PulmonologyCharles University, Faculty of Medicine in Hradec Králové, University Hospital Hradec KrálovéHradec KrálovéCzech Republic
  3. 3.Department of Respiratory MedicineFirst Medical Faculty of Charles University and Thomayer HospitalPragueCzech Republic
  4. 4.Department of RadiologyFirst Medical Faculty of Charles University and Thomayer HospitalPragueCzech Republic
  5. 5.Department of RadiologyUniversity Hospital and Faculty of Medicine and Dentistry, Palacky UniversityOlomoucCzech Republic
  6. 6.Department of Respiratory MedicineUniversity Hospital and Faculty of Medicine and Dentistry, Palacky UniversityOlomoucCzech Republic

Personalised recommendations