Presentation
1 year ago, idiopathic pulmonary fibrosis was suspected due to clinical and radiological findings. The patient was then admitted to the hospital with increasing shortness of breath and fever.
Patient Data
1 mth prior to acute admission
The first CT scan, a year before admission, demonstrates reticular opacities with a predilection for the lower lobes and peripheral lung zones, traction bronchiectasis and subpleural ground glass opacities. Microcystic honeycombing was also seen.
Bilateral large areas of lung parenchymal consolidation with fuzzy contours and heterogeneous structure because of multiply cavities. Elsewhere, there is lung architectural distortion, diffuse reticular opacities with traction bronchiectasis and peripheral ground glass opacities.
Case Discussion
Idiopathic pulmonary fibrosis was initially established on clinicoradiological findings. When the acute admission occurred, tuberculosis was confirmed by bacteriological tests.
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