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MediumRespiratoryIdiopathic pulmonary fibrosisau-amcau-racp

A 66-year-old man presents with progressive exertional breathlessness and dry cough. He is a retired farmer with a 40-pack-year smoking history. Basal fine inspiratory crackles and finger clubbing are noted. Chest X-ray shows bilateral reticular shadowing. High-resolution CT suggests usual interstitial pneumonia pattern. What is the most likely diagnosis?

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