Lungs bronchiolectasis (CT)

1. Findings


Fibrotic NSIP
59-year-old male presents with history of scleroderma, Raynaud’s disease, and ILD
Upper Image
Axial CT shows bibasilar peripheral reticular changes, ground glass, bronchiectasis, and bronchiolectasis with volume and with crowding of the bronchovascular bundles posteriorly. There is subpleural sparing posteriorly. Note air-fluid level in the distended esophagus.

Lower Image
The lower image focuses on the traction bronchiectasis caused by the fibrotic process

Ashley Davidoff MD TheCommonVein.net 110Lu 136598c