Pulmonary fibrosis: early
Progressive shortness of breath and dry cough. Fine inspiratory basal crepitations.
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Increased interstitial markings in both lungs most pronounced at the bases.
The lung volumes are maintained.
Heart size normal.
The appearances are those of pulmonary fibrosis. This is relatively mild for a plain radiograph.
The degree of fibrosis if and when the patient proceeds to HRCT of the chest is often much more pronounced.