Combined pulmonary fibrosis and emphysema - probable

Case contributed by Dr Bruno Di Muzio


Smoking patient with mild dyspnoea.

Patient Data

Age: 77
Gender: Male

Chest X-ray

There are subpleural reticular opacities.

HRCT shows centrilobular and paraseptal emphysema predominant on upper zones.  The fibrosis is characterised 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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Case information

rID: 25739
Published: 5th Nov 2013
Last edited: 10th Sep 2015
System: Chest
Inclusion in quiz mode: Included

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