HardRespiratory MedicineRheumatoid Arthritis-Associated ILDmrcp part 1ukmla
A 50-year-old woman with long-standing rheumatoid arthritis, treated with methotrexate and adalimumab, presents with a persistent dry cough and increasing shortness of breath over several months. A high-resolution CT scan of the chest shows bibasal reticular opacities and honeycombing. Pulmonary function tests show a restrictive pattern with reduced gas transfer (DLCO). What is the most likely diagnosis?