Pulmonary fibrosis - cause unknown

Case contributed by Dr David Cuete


Long standing progressive shortness of breath.

Patient Data:

Age: 65
Gender: Female

Chest X-ray

Modality: X-ray

Chest x-ray demonstrates extensive interstitial thickening.

CT chest

Modality: CT

Right opacity pleuroapical and some patchy areas of ground-glass density. Elements of septal fibrosis apicobasal gradient. Basal cylindrical bronchiectasis. No observed nodules or pleural effusion.

Esophageal dilation and  liquid containing with concentric wall thickening of the distal esophagus.

Case Discussion:

Pulmonary fibrosis right apical pleural thickening and incidental esophageal achalasia.

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