Presentation
Longstanding respiratory clinic attender. Acute on chronic shortness of breath.
Patient Data
Age: 60
Gender: Female
From the case:
Pulmonary fibrosis
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Info
![](https://prod-images-static.radiopaedia.org/images/23762074/4aee419c0782bfe45b5db9963992d2_big_gallery.jpeg)
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.