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Pulmonary fibrosis (moderate severity)

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Breathlessness. Fine inspiratory crepitations on examination.

Moderate amount of diffuse bilateral subpleural reticular change in both lungs.

The changes are most pronounced in the basal segments.  Minor resultant traction bronchiectasis.

No honeycomb formation.

Case Discussion

The HRCT demonstrates the typical appearances of a moderate degree of pulmonary fibrosis.

This commonly has a subpleural prelidiction.  The causes can be multiple or as if most commonly the case idiopathic (UIP).

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