Radiation induced pulmonary fibrosis
Prior mediation radiotherapy for lymphoma. Cough. Possible lower respiratory tract infection.
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Volume loss in both upper lobes.
Bilateral paramediastial streaky linear appearance in a fan-like distribution which is almost symmetrical in nature consistent with scarring.
Heart size normal.
The appearances and clinical history are entirely in keeping with radiation-induced pulmonary fibrosis several years following medically indicated radiotherapy to the mediastinum.