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Histologic features of nonspecific interstitial pneumonia

Histologic features of nonspecific interstitial pneumonia
Key histologic features
Cellular pattern*
Mild to moderate interstitial chronic inflammation
Type II pneumocyte hyperplasia in areas of inflammation
Fibrosing pattern*
Dense or loose interstitial fibrosis lacking the temporal heterogeneity pattern and/or patchy features of UIP
Lung architecture may appear lost on examination of H&E-stained section, but is relatively preserved with elastin stains
Interstitial chronic inflammation - mild or moderate
Pertinent negative findings
Cellular pattern
Dense interstitial fibrosis: absent
Organizing pneumonia: absent or not prominent
Diffuse severe alveolar septal inflammation: absent
Fibrosing pattern
Temporal heterogeneity pattern: fibroblastic foci with dense fibrosis are inconspicuous or absent - this is especially important in cases with patchy involvement and subpleural or paraseptal distribution
Both patterns
Acute lung injury pattern, especially hyaline membranes: absent
Eosinophils: inconspicuous or absent
Granulomas: inconspicuous or absent
Viral inclusions and organisms on special stains: not present
* There is a spectrum from cellular to fibrosing patterns, with some cases showing a combination of cellular and fibrosing features.
UIP: usual interstitial pneumonia; H&E: hematoxylin and eosin.
Graphic 81034 Version 3.0