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Recurrent Fibrotic NSIP in Scleroderma

Imaging findings

Lower lobe predominant reticulation, traction bronchiectasis, and esophageal dilation, characteristic of fibrotic NSIP. The patient showed recurrence of this exact pattern in transplanted lungs nearly 10 years post-transplant.

Key takeaways

Connective tissue diseases like scleroderma can recur in transplanted lungs. Other conditions, such as LAM (lymphangioleiomyomatosis), are also known to recur post-transplant because the underlying systemic disease is not eliminated.

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