Clinical history

Case 35

72-year-old man presenting with shortness of breath and cardiac angina. Diffuse crackles (Velcro rales) were found at auscultation. Clubbing of the fingers at clinical examination.

Radiological images


Radiological findings


CT images


CT findings


Extra Examinations


Peripheral lung biopsy showing honeycombing. The normal lung parenchyma is replaced by large fibrotic areas. Residual airspaces are lined by ciliated cells and proliferation of smooth muscle signs the long-standing pathology.

Final diagnosis


Final Diagnosis : Idiopathic pulmonary fibrosis (IPF).

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