Retired female patient with shortness of breath. Former occupation unknown.
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Increases subpleural reticular markings throughout both lungs, with an upper lobe predominence.
Pulmonary fibrosis has a wide differential, although idiopathic ( aka UIP ) is the commonest causes.
It is strongly associated with rheumatological conditions as well as occupational dust exposures.
Reticular markings and volume loss are key plain film features, however this is crude compared to the detail on HRCT.