A 62-year-old man with a 40-pack-year smoking history presents with progressive dyspnea and a nonproductive cough over 8 months. He reports no occupational exposures, recent infections, or immunosuppressive medications. Vital signs show oxygen saturation of 88% on room air. High-resolution CT of the chest demonstrates bilateral lower lobe predominant reticular opacities with traction bronchiectasis and minimal ground-glass infiltrates. Pulmonary function tests reveal FVC 65% predicted, FEV1 62% predicted, FEV1/FVC ratio 0.78, and DLCO 45% predicted. Which of the following is the most likely diagnosis?

  1. A)Acute interstitial pneumonia
  2. B)Nonspecific interstitial pneumonia
  3. C)Respiratory bronchiolitis-associated interstitial lung disease
  4. D)Desquamative interstitial pneumonia
  5. E)Usual interstitial pneumoniaGABARITO

Explicação

Usual interstitial pneumonia (UIP) is the most likely diagnosis. The clinical presentation of progressive dyspnea and dry cough over months in a long-term smoker, combined with the HRCT findings of bilateral lower lobe-predominant reticular opacities with trac... Ver explicação completa e trilha adaptativa →

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