The CXR shows small bilateral lung volumes. There are basal infiltrates which are peripheral and cystic in appearance, not unlike a honeycomb. These changes are better demonstrated on the CT (Fig. 53.2). This is the typical appearance of Idiopathic Pulmonary Fibrosis (also known as Cryptogenic Fibrosing Alveolitis). The typical profile is a middle-aged female with shortness of breath over months. It can be associated with connective tissue diseases like rheumatoid arthritis and systemic lupus erythematosis.
Case 54. This middle-aged woman had symptoms of reflux. This was her CXR (Fig. 54.1).
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