Presentation
50 years old male with history of rheumatoid arthritis.
Patient Data
Age: 50
Gender: Male
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Chest radiograph shows decreased lung volume and basal predominant coarse reticulation. Also note dilated loops of bowels in the upper abdomen.
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HRCT demonstrates reticular/ground glass opacities, traction bronchiectasis and extensive honeycombing with peripheral and basal predominance. In addition the presence of anterior upper lobe honeycombing (red arrows) is a more common finding in rheumatoid arthritis and not typically seen in idiopathic pulmonary fibrosis.