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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.
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,
0:00
So let's say you've identified ILA on ct.
0:03
Now what do you do? Well make sure it's not early ILD based
0:07
on that diagnostic workflow.
0:08
Things like clinical workup, clinical symptoms, uh,
0:12
abnormal P fts and whatnot.
0:15
Patients should be seen by some, like a clinician,
0:17
usually hopefully a pulmonologist
0:18
or someone who's internal medicine
0:20
or primary care who's well versed in diffuse lung diseases.
0:25
And so they wanna do obviously a detailed history
0:27
of physical get pft, and then we do CT follow up.
0:30
So we should do CT follow up, uh,
0:32
pretty aggressively, one to two years.
0:34
Now we realize it might take a little bit longer for ILA
0:37
to progress like eyelea, which are early pulmonary fibrosis.
0:40
So for incidental cases
0:42
and low risk patients, we'll do CT in
0:43
every two to three years.
0:45
For high risk patients, we'll do CT every, every year EFTs,
0:49
we're gonna do it every two
0:50
to three years in low risk patients,
0:51
but more aggressively in high risk patients
0:53
every six to 12 months.
0:55
So then longitudinal followup is gonna be very helpful.
Identifying ILA on CT
HIDEInteractive Transcript
0:00
So let's say you've identified ILA on ct.
0:03
Now what do you do? Well make sure it's not early ILD based
0:07
on that diagnostic workflow.
0:08
Things like clinical workup, clinical symptoms, uh,
0:12
abnormal P fts and whatnot.
0:15
Patients should be seen by some, like a clinician,
0:17
usually hopefully a pulmonologist
0:18
or someone who's internal medicine
0:20
or primary care who's well versed in diffuse lung diseases.
0:25
And so they wanna do obviously a detailed history
0:27
of physical get pft, and then we do CT follow up.
0:30
So we should do CT follow up, uh,
0:32
pretty aggressively, one to two years.
0:34
Now we realize it might take a little bit longer for ILA
0:37
to progress like eyelea, which are early pulmonary fibrosis.
0:40
So for incidental cases
0:42
and low risk patients, we'll do CT in
0:43
every two to three years.
0:45
For high risk patients, we'll do CT every, every year EFTs,
0:49
we're gonna do it every two
0:50
to three years in low risk patients,
0:51
but more aggressively in high risk patients
0:53
every six to 12 months.
0:55
So then longitudinal followup is gonna be very helpful.
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
Idiopathic
Drug related
Chest CT
Chest
CT
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