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HardRheumatologyRheumatoid arthritis-associated interstitial lung diseaseus-abimus-usmle-step-2us-usmle-step-3

A 55-year-old man with long-standing rheumatoid arthritis presents with progressive shortness of breath and dry cough. Chest radiograph shows bilateral interstitial infiltrates. Pulmonary function tests reveal a restrictive pattern with reduced diffusing capacity. Which of the following is the most likely diagnosis?

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