Female, 61 years old.Fever and tachycardia. Small fibrotic appearing lungs with interval increase in opacity diffusely but particularly in the right upper lobe since the prior study of 2014. Scattered solid appearing upper lobe nodular opacities bilaterally are of indeterminate etiology. Unchanged cardiomediastinal appearance.
Severe progressive pulmonary fibrosis with increased opacity in the right upper lobe and scattered solid appearing upper lobe nodular opacities. Recommend correlation with CT scan. Differential considerations include infection, acute exacerbation of interstitial lung disease, drug reaction or malignancy.