Idiopathic pulmonary fibrosis Quiz: Ace Your Exams

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A 52-year-old man presents to the clinic with a dry cough and shortness of breath. He reports worsening symptoms for months and states he is otherwise healthy and does not take any medications daily. He usually drinks two beers everyday after he finishes his work as a sandblaster for the city government. Vitals are within normal limits. His physical examination is unremarkable. He undergoes spirometry which demonstrates an increased FEV1/FVC ratio. Which of the following radiographic features is most likely to be observed based on this patient’s clinical presentation?

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Nodular opacities and hilar lymph node calcification of the upper lobes

Small bilateral opacities throughout both lungs sparring the apices and the bases

Reticular bilateral opacities of the lower lobes

Small, rounded nodular opacities of the upper lobes

Honeycombing pattern of the upper lobes