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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.
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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
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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 patient with NSIP.
0:04
It's relatively based
0:06
or predominant, actually, I think pretty convincingly.
0:09
So there are areas of reticulation
0:11
and traction bronchiectasis.
0:12
If all you saw was this in the cost frank angle,
0:15
this is the only slice that you had.
0:17
I think that most people, including myself would say, oh,
0:20
this actually feels like maybe probable UIP.
0:22
Maybe this is early UIP.
0:25
I'm not sure if there's honeycombing down here,
0:27
but if you look at the rest of the lung parenchyma
0:29
and in particular right around here
0:32
and look at the distribution in the axial plane, you'll see
0:35
that there's clearly relative subpleural sparing
0:38
and so are predominant relative subpleural sparing
0:43
reticular abnormality, traction bronchis.
0:45
This is a case of fibrotic hp,
0:47
and this patient has systemic sclerosis.
0:50
Remember what I told you before, patients
0:51
with NSIP almost always their diseases related to
0:55
a secondary cause,
0:56
and in this case it's related to systemic sclerosis.
1:01
You'd like to see a little bit of a dilate esophagus
1:03
to make it classic, but sometimes they just don't have it.
1:04
They don't have the dilate esophagus,
1:06
even if they have the underlying disease.
Case: NSIP in Systemic Sclerosis (SSc)
HIDEInteractive Transcript
0:00
So here's a patient with NSIP.
0:04
It's relatively based
0:06
or predominant, actually, I think pretty convincingly.
0:09
So there are areas of reticulation
0:11
and traction bronchiectasis.
0:12
If all you saw was this in the cost frank angle,
0:15
this is the only slice that you had.
0:17
I think that most people, including myself would say, oh,
0:20
this actually feels like maybe probable UIP.
0:22
Maybe this is early UIP.
0:25
I'm not sure if there's honeycombing down here,
0:27
but if you look at the rest of the lung parenchyma
0:29
and in particular right around here
0:32
and look at the distribution in the axial plane, you'll see
0:35
that there's clearly relative subpleural sparing
0:38
and so are predominant relative subpleural sparing
0:43
reticular abnormality, traction bronchis.
0:45
This is a case of fibrotic hp,
0:47
and this patient has systemic sclerosis.
0:50
Remember what I told you before, patients
0:51
with NSIP almost always their diseases related to
0:55
a secondary cause,
0:56
and in this case it's related to systemic sclerosis.
1:01
You'd like to see a little bit of a dilate esophagus
1:03
to make it classic, but sometimes they just don't have it.
1:04
They don't have the dilate esophagus,
1:06
even if they have the underlying disease.
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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