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A 64 yo female is evaluated for a 6-month history of dyspnea…
A 64 yo female is evaluated for a 6-month history of dyspnea, cough, and weight loss. She has been diagnosed with recurrent pneumonia and has been treated with azithromycin and levofloxacin, without significant improvement. The patient has never smoked, has had no known environmental exposures, and has not traveled recently or been exposed to anyone with a similar illness. Her only medications are aspirin and a multivitamin. On physical examination, temperature is 37.8°C (100.0°F); other vital signs are normal. Cardiac examination is normal. There are scattered crackles in the mid-lung zones with associated rare expiratory wheezes. There is no digital clubbing. Musculoskeletal and skin examinations are normal. Chest imaging and a transbronchial biopsy was performed (see the three images). Which of the following is the most likely diagnosis?
A 64 yo female is evaluated for a 6-month history of dyspnea…
Questions
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A 64 yо femаle is evаluаted fоr a 6-mоnth history of dyspnea, cough, and weight loss. She has been diagnosed with recurrent pneumonia and has been treated with azithromycin and levofloxacin, without significant improvement. The patient has never smoked, has had no known environmental exposures, and has not traveled recently or been exposed to anyone with a similar illness. Her only medications are aspirin and a multivitamin. On physical examination, temperature is 37.8°C (100.0°F); other vital signs are normal. Cardiac examination is normal. There are scattered crackles in the mid-lung zones with associated rare expiratory wheezes. There is no digital clubbing. Musculoskeletal and skin examinations are normal. Chest imaging and a transbronchial biopsy was performed (see the three images). Which of the following is the most likely diagnosis?
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