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Fibrotic Hypersensitivity Pneumonitis

Imaging findings

Fibrosing lung disease with reticulation and architectural distortion, but lacking classic UIP findings like sub-pleural honeycombing.

Key takeaways

Surgical biopsy revealed airway-centric fibrosis and loose granulomas, leading to a diagnosis of fibrotic hypersensitivity pneumonitis. Management of such cases involves distinguishing progressive phenotypes and identifying potential environmental exposures before escalating to anti-fibrotic therapy.

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