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Training Collections
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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.
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Complete all of your state CME requirements in one convenient place.
Noon Conference (Free)
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Case Crunch: Rapid Case Review (Free)
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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,
0:00
So here's example of beautiful central lobular
0:05
nodularity of ground-glass attenuation
0:08
all throughout the lungs in a patient
0:10
with non fibrotic hypersensitivity pneumonitis,
0:13
no fibrosis here but, but look at this beautiful example.
0:17
These fine central lo grl nodules, they have an order
0:21
to them as you could see.
0:22
And so this is pretty typical of non fibrotic hp.
0:26
And when you see this, this degree of ground lass, opac
0:29
and inflammation within the lungs, the air trapping
0:33
that we commonly see is either not present in cases
0:37
of HP like this
0:39
or the for some reason are concentrate the lung base.
0:42
So you see at the lung base there's a little
0:43
bit of mosaic attenuation.
0:44
Let's go ahead and pull up the coronal reformation
0:47
'cause I think the contrast is quite helpful.
0:49
See, I see the coronal reformation shows the basler
0:53
mosaic attenuation, which are areas of air trapping,
0:55
but then the rest of the lungs, it's all inflamed lung.
0:58
These diffuse central lobular long lasts nodules.
1:02
And so if we really mag it up, you'll see
1:05
that there's relative subpleural sparing.
1:08
So classic for central lobular nodularity in this patient
1:12
with hp.
Case: Hypersensitivity Pneumonitis with Centrilobular Nodules
HIDEInteractive Transcript
0:00
So here's example of beautiful central lobular
0:05
nodularity of ground-glass attenuation
0:08
all throughout the lungs in a patient
0:10
with non fibrotic hypersensitivity pneumonitis,
0:13
no fibrosis here but, but look at this beautiful example.
0:17
These fine central lo grl nodules, they have an order
0:21
to them as you could see.
0:22
And so this is pretty typical of non fibrotic hp.
0:26
And when you see this, this degree of ground lass, opac
0:29
and inflammation within the lungs, the air trapping
0:33
that we commonly see is either not present in cases
0:37
of HP like this
0:39
or the for some reason are concentrate the lung base.
0:42
So you see at the lung base there's a little
0:43
bit of mosaic attenuation.
0:44
Let's go ahead and pull up the coronal reformation
0:47
'cause I think the contrast is quite helpful.
0:49
See, I see the coronal reformation shows the basler
0:53
mosaic attenuation, which are areas of air trapping,
0:55
but then the rest of the lungs, it's all inflamed lung.
0:58
These diffuse central lobular long lasts nodules.
1:02
And so if we really mag it up, you'll see
1:05
that there's relative subpleural sparing.
1:08
So classic for central lobular nodularity in this patient
1:12
with hp.
Report
Faculty
Jonathan H. Chung, MD
Professor of Radiology and Division Chief of Cardiothoracic Imaging
UCSD - University of California San Diego
Tags
Non-infectious Inflammatory
Lungs
Chest CT
Chest
CT
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