Probable combined pulmonary fibrosis and emphysema (CPFE)
Outpatient with lung fibrosis, allegedly UIP. Deteriorating blood gases.
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Though there are interstitial reticular opacities, some ground-glass opacities in the posterior lingula, and subpleural fibrosis, the pattern of translucencies is more typical for paraseptal emphysema than honeycombing. The UIP-typical apico-basal gradient is lacking, as well.