What is Subpleural honeycombing?

What is Subpleural honeycombing?

Honeycombing is a CT imaging descriptor referring to clustered cystic air spaces (between 3-10 mm in diameter, but occasionally as large as 2.5 cm) that are usually subpleural, peripheral and basal in distribution.

What does honeycombing mean in the lungs?

In pathology, honeycomb lung refers to the characteristic appearance of variably sized cysts in a background of densely scarred lung tissue. Microscopically, enlarged airspaces surrounded by fibrosis with hyperplastic or bronchiolar type epithelium are present.

Is honeycombing in lungs serious?

Patients with interstitial lung disease (ILD) who had honeycombing on chest computed tomography (CT) had higher mortality rates than patients without honeycombing, according to study results published in the Annals of the American Thoracic Society.

What causes honeycombing?

Honeycombing is produced pathologically by the dissolution of alveolar walls with the formation of randomly distributed airspaces that are lined by fibrous tissue. Honeycombing represents an end-stage lung that is destroyed by fibrosis.

What is honeycombing on chest xray?

Honeycombing or “honeycomb lung” is the radiological appearance seen with widespread fibrosis and is defined by the presence of small cystic spaces with irregularly thickened walls composed of fibrous tissue.

Can a CT scan show pulmonary fibrosis?

For some types of pulmonary fibrosis, the results from a CT scan can be very clear and allow a diagnosis to be made. On a CT scan, IPF often shows up as a distinctive pattern on the lungs.

Can you see pulmonary fibrosis on a CT scan?

For some types of pulmonary fibrosis, the results from a CT scan can be very clear and allow a diagnosis to be made. On a CT scan, IPF often shows up as a distinctive pattern on the lungs. You might hear your doctor call this honeycomb lung.

What is honeycombing on CT scan?

According to the ATS-ERS-JRS-ALAT 2010 guideline, the patients with honeycombing on CT can be diagnosed as UIP without surgical biopsy. On CT scans, it is defined as clustered cystic airspaces, typically of comparable diameters of the order of 3–10 mm, which are usually subpleural and have well-defined walls.

What is subpleural honeycombing of the lungs?

Subpleural Honeycombing: It usually occurs in several adjacent layers. These variations are nonsignificant and are commonly observed in many end-stage interstitial lung diseases (ILD). This will help to differentiate the honeycombing from paraseptal emphysema in which subpleural honeycomb cysts normally occur in only a single layer.

Does honeycombing on CT show usual interstitial pneumonia?

Honeycombing on CT is the clue for the diagnosis of usual interstitial pneumonia (UIP) and its hallmark. According to the ATS-ERS-JRS-ALAT 2010 guideline, the patients with honeycombing on CT can be diagnosed as UIP without surgical biopsy.

Where does honeycombing occur in the lungs?

Honeycomb cysts often occur in the pleural or subpleural and peripheral lung areas. What is Subpleural Honeycombing? Subpleural Honeycombing: It usually occurs in several adjacent layers. These variations are nonsignificant and are commonly observed in many end-stage interstitial lung diseases (ILD).