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MCQ 042

A 62-year-old man presents with 3 months of progressive exertional dyspnoea and a dry cough. Examination reveals bilateral fine end-inspiratory crackles and finger clubbing. CT shows subpleural reticulation with honeycombing. What is the most likely diagnosis?

  • AChronic obstructive pulmonary disease
  • BHypersensitivity pneumonitis
  • CIdiopathic pulmonary fibrosis
  • DSarcoidosis
  • ELung adenocarcinoma
Reasoning
The pattern — insidious dyspnoea, dry cough, bibasal Velcro crackles, clubbing, plus subpleural reticulation with honeycombing on CT — is classic for a usual interstitial pneumonia pattern, i.e. IPF.
ANZ Thoracic SocietyIPF Position Statement 2017
eTG CompleteRespiratory, Interstitial lung disease
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