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Fibrotic hypersensitivity pneumonitis

Case contributed by Mark Holland
Diagnosis probable

Presentation

Presented to general practitioner with dyspnea and ankle swelling. Incidentally happens to keep birds as a hobby.

Patient Data

Age: 60 years
Gender: Female

Bilateral reticular opacities with ground glass haziness.

Multiple centrilobular ground glass nodules and anterior subpleural reticulation.

Case Discussion

Birds fancier lung with head cheese sign.

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