A 67 year old man comes to the clinic because of 18 months of progressive shortness of breath and dry cough. He has never smoked and has no known occupational exposures. Examination shows bibasilar end inspiratory crackles and digital clubbing. High resolution CT of the chest shows subpleural reticular opacities and honeycombing at the lung bases. Which of the following is the most likely diagnosis?
- A)Asbestosis
- B)Idiopathic pulmonary fibrosisGABARITO
- C)Sarcoidosis
- D)Hypersensitivity pneumonitis
- E)Pulmonary embolism
Explicação
Idiopathic pulmonary fibrosis is correct. The vignette shows the classic pattern of progressive exertional dyspnea, dry cough, bibasilar crackles, clubbing, and basilar subpleural honeycombing on high resolution CT. This reflects a usual interstitial pneumonia... Ver explicação completa e trilha adaptativa →