Combined pulmonary fibrosis and emphysema - probable

Case contributed by Bruno Di Muzio
Diagnosis probable

Presentation

Smoking patient with mild dyspnea.

Patient Data

Age: 77
Gender: Male

There are subpleural reticular opacities.

HRCT shows centrilobular and paraseptal emphysema predominant on upper zones.  The fibrosis is characterized by honeycombing cysts and reticular septal thickening, there is also mild traction bronchioloctasis. There is no separation of diffuse emphysema and honeycombing. 

Case Discussion

Imaging features are consistent with combined pulmonary fibrosis and emphysema.

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