Pulmonary fibrosis

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Longstanding respiratory clinic attender. Acute on chronic shortness of breath.

Patient Data

Age: 60
Gender: Female
x-ray

Diffuse increased interstitial markings throughout both lungs, without a zonal distribution.

'Shaggy' outline to the heart.

Tracheomegaly.

Case Discussion

Moderate to severe pulmonary fibrosis.  The 'shaggy' appearance to the heart results from adjacenet lung fibrosis so the outline of the heart is less well delineated.

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