Idiopathic pulmonary fibrosis Quiz: Ace Your Exams

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A 42-year-old woman presents to her primary care physician with shortness of breath. She reports worsening shortness of breath and fatigue over the past several months and states, “I just don’t feel like myself.” Her past medical history includes obesity and hypertension. She smokes one half-pack of cigarettes per day. Temperature is 37°C (98.6°F), pulse is 82/min, respirations are 21/min, blood pressure is 120/94 mmHg, and oxygen saturation is 93% on room air. Physical examination reveals coarse bilateral breath sounds and red tender lumps on the anterior shins. A chest x-ray is performed and shown below.  


Reproduced from: Radiopedia    

Which of the following is most likely to be seen on pulmonary function testing for this patient?  

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