Without dwelling on symptoms, does this CXR look like fibrosis to you? What would you say if her PFT's were entirely normal with that CXR (TLC was 85% and DLCO was 90%)?
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Discussion of interesting or befuddling cases related to pulmonary and critical care medicine.
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Looks like very prominent vasculature to me. Fibrosis usually doesn't start at the hilum like that. But, if there is a question, I'd get a high res CT.
Looking closer, there are some hints of bronchiectasis--so this could be bronchiolar wall thickening.
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