Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Case Crunch: Rapid Case Review (Free)
Register for free live board reviews.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Introduction & Systematic Approach
3 topics, 15 min.
Lesson
Fibrotic Lung Disease
17 topics, 59 min.
Introduction to Fibrotic Lung Disease
3 m.Practical Approach to Pulmonary Fibrosis
6 m.Usual Interstitial Pneumonia (UIP): The 800lb Gorilla
3 m.UIP Diagnostic Criteria
2 m.Typical UIP and Probable UIP
6 m.Nonspecific Interstitial Pneumonia (NSIP)
10 m.Fibrotic Hypersensitivity Pneumonitis (fHP)
10 m.Case: Classic UIP (IPF) and Tracheobronchomalacia
4 m.Case: Fibrotic HP
2 m.Case: fHP pattern in CTD
4 m.Case: Asbestosis
4 m.Case: UIP with NSIP Elements in IPAF
4 m.Case: Classic UIP
2 m.Case: Indeterminate for UIP
3 m.Case: Combined NSIP and Organizing Pneumonia
2 m.Case: NSIP in IPAF
2 m.Case: NSIP in Systemic Sclerosis (SSc)
2 m.Lesson
Diffuse Nodular Lung Disease
15 topics, 35 min.
Introduction to Diffuse Nodular Lung Disease
4 m.Secondary Pulmonary Lobule Anatomy
2 m.Nodular Pattern Taxonomy
4 m.Random Nodules
5 m.Perilymphatic Nodules
6 m.Centrilobular Nodules
7 m.Case: Mild Perilymphatic Nodularity in Sarcoidosis
2 m.Case: Sarcoidosis - Perilymphatic Nodularity
2 m.Case: Fibrotic Sarcoidosis with Perilymphatic Nodularity
2 m.Case: Random Nodules in Histoplasmosis
2 m.Case: Adenocarcinoma
2 m.Case: Hypersensitivity Pneumonitis with Centrilobular Nodules
2 m.Case: Aspiration with Centrilobular Nodules
1 m.Case: Centrilobular Nodularity in Respiratory Bronchiolitis (RB)
2 m.Summary of Diffuse Nodular Lung Disease
1 m.Lesson
Diffuse Cystic Lung Disease
16 topics, 30 min.
Introduction to Diffuse Cystic Lung Disease
2 m.Diagnostic Approach to Cystic Lung Disease
6 m.Emphysema
2 m.Pulmonary Langerhans Cell Histiocytosis (PLCH)
5 m.Lymphangioleiomyomatosis (LAM)
2 m.Lymphocytic Interstitial Pneumonia (LIP)
4 m.Birt‑Hogg‑Dubé Syndrome
3 m.Case: LAM with Right Pleural Thickening
2 m.Case: LAM With Possible Chronic Pneumothorax
1 m.Case: LAM With Chylous Effusions
1 m.Case: LIP Non-Specific
2 m.Case: Classic LIP
2 m.Case: Birt‑Hogg‑Dubé Mild
1 m.Case: Birt‑Hogg‑Dubé Pneumothorax
1 m.Case: Classic LCH
2 m.Summary of Diffuse Cystic Lung Disease
3 m.Lesson
Interstitial Lung Abnormality (ILA)
5 topics, 8 min.
Lesson
Progressive Pulmonary Fibrosis (PPF)
3 topics, 3 min.
Lesson
Conclusion
1 topic,
0:01
So a lot of cysts within the lungs here
0:04
in a woman, as you can tell.
0:06
And as we scroll through, we notice
0:07
that there's more cysts in the lung bases than the upper
0:11
aspect of the lungs and para bronchovascular
0:15
subpleural in their distribution.
0:18
So this is a lot of cysts,
0:21
but not so many where I'm like, oh,
0:22
this is classic lymph a**l mitosis, right?
0:25
So, um, this is a case
0:26
where I would consider lymphocytic interstitial neuritis.
0:29
I consider bird hug debase syndrome
0:31
and consider lymphangitis mitosis.
0:33
But the bas of predominance really makes me think about
0:35
maybe LIP versus bird hug debate first.
0:38
And so in this case, I think you would be stuck
0:41
between bird hug debate
0:43
and lymphocytic interstitial neuritis.
0:45
There are a few ParaMed stensis,
0:48
but not enough for me to be confident.
0:49
This is Bird hug bay syndrome. And so what are we gonna do?
0:52
We're gonna discuss with our clinicians,
0:54
we're gonna dig into the history.
0:56
This patient a history of Sjogren's syndrome.
0:58
This is LIP, and this is the classic
1:00
and typical way that we achieve diagnosis in this patients
1:03
with Sjogren's system and LIP.
1:05
It's sort of thinking these things through trying
1:09
to figure out what the distributions are,
1:11
and then from that combining with the clinical information
1:13
to try to come down on these specific single diagnosis,
1:17
which we can do in the MDD setting.
Case: Classic LIP
HIDEInteractive Transcript
0:01
So a lot of cysts within the lungs here
0:04
in a woman, as you can tell.
0:06
And as we scroll through, we notice
0:07
that there's more cysts in the lung bases than the upper
0:11
aspect of the lungs and para bronchovascular
0:15
subpleural in their distribution.
0:18
So this is a lot of cysts,
0:21
but not so many where I'm like, oh,
0:22
this is classic lymph a**l mitosis, right?
0:25
So, um, this is a case
0:26
where I would consider lymphocytic interstitial neuritis.
0:29
I consider bird hug debase syndrome
0:31
and consider lymphangitis mitosis.
0:33
But the bas of predominance really makes me think about
0:35
maybe LIP versus bird hug debate first.
0:38
And so in this case, I think you would be stuck
0:41
between bird hug debate
0:43
and lymphocytic interstitial neuritis.
0:45
There are a few ParaMed stensis,
0:48
but not enough for me to be confident.
0:49
This is Bird hug bay syndrome. And so what are we gonna do?
0:52
We're gonna discuss with our clinicians,
0:54
we're gonna dig into the history.
0:56
This patient a history of Sjogren's syndrome.
0:58
This is LIP, and this is the classic
1:00
and typical way that we achieve diagnosis in this patients
1:03
with Sjogren's system and LIP.
1:05
It's sort of thinking these things through trying
1:09
to figure out what the distributions are,
1:11
and then from that combining with the clinical information
1:13
to try to come down on these specific single diagnosis,
1:17
which we can do in the MDD setting.
Report
Faculty
Jonathan H. Chung, MD
Professor of Radiology and Division Chief of Cardiothoracic Imaging
UCSD - University of California San Diego
Tags
Syndromes
Non-infectious Inflammatory
Lungs
Chest CT
Chest
CT
© 2026 Medality. All Rights Reserved.
