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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.
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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)
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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 a example of
0:04
combined NSIP and op.
0:08
And so if we scroll through, you'll know
0:11
that there's relative subpleural sparing.
0:12
So that's very suggestive.
0:13
NSIP look at this beautiful subpleural sparing there,
0:16
but superimposed on the underlying reticulation
0:19
and ground opacity are more dense areas of consolidation.
0:24
There's concomitant traction, bronchiectasis
0:26
and bronchiectasis as you can see,
0:28
and maybe even the mildest subpleural honeycombing
0:31
within the right lower lobe.
0:32
But this overall pattern would be highly
0:34
inconsistent with UIB.
0:36
This is something else. And so this is a,
0:38
A beautiful example, pretty classic example
0:40
of nonspecific interstitial pneumonitis
0:43
with organizing pneumonia.
0:44
We didn't really talk about organizing pneumonia,
0:46
but organizing pneumonia is not uncommon in the setting
0:49
of connective tissue disease
0:51
and the way it manifests on CT R areas of consolidation,
0:54
which are very commonly para bronchovascular
0:57
or subpleural in distribution.
0:59
But if you see this combined NSIP op pattern,
1:03
you should be thinking about connected tissue disease
1:05
and the highest thing on your differential diagnosis is
1:07
gonna be myositis.
1:09
So Dermatomyositis, polymyositis
1:11
and their cousin, the anti sythes syndrome.
Case: Combined NSIP and Organizing Pneumonia
HIDEInteractive Transcript
0:00
So here's a example of
0:04
combined NSIP and op.
0:08
And so if we scroll through, you'll know
0:11
that there's relative subpleural sparing.
0:12
So that's very suggestive.
0:13
NSIP look at this beautiful subpleural sparing there,
0:16
but superimposed on the underlying reticulation
0:19
and ground opacity are more dense areas of consolidation.
0:24
There's concomitant traction, bronchiectasis
0:26
and bronchiectasis as you can see,
0:28
and maybe even the mildest subpleural honeycombing
0:31
within the right lower lobe.
0:32
But this overall pattern would be highly
0:34
inconsistent with UIB.
0:36
This is something else. And so this is a,
0:38
A beautiful example, pretty classic example
0:40
of nonspecific interstitial pneumonitis
0:43
with organizing pneumonia.
0:44
We didn't really talk about organizing pneumonia,
0:46
but organizing pneumonia is not uncommon in the setting
0:49
of connective tissue disease
0:51
and the way it manifests on CT R areas of consolidation,
0:54
which are very commonly para bronchovascular
0:57
or subpleural in distribution.
0:59
But if you see this combined NSIP op pattern,
1:03
you should be thinking about connected tissue disease
1:05
and the highest thing on your differential diagnosis is
1:07
gonna be myositis.
1:09
So Dermatomyositis, polymyositis
1:11
and their cousin, the anti sythes syndrome.
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
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