16th January 2024

A 69-year-old lady is reviewed in outpatient respiratory clinic with a progressive history of dyspnoea, weight loss and non-productive cough.

A 69-year-old lady is reviewed in outpatient respiratory clinic with a progressive history of dyspnoea, weight loss and non-productive cough. On examination, digital clubbing and diffuse inspiratory crackles and squeaks on auscultation of the chest are noted. The lady reports no history of asthma and is a non-smoker. She does not keep any pets and previously worked as an office worker until she retired a few years ago. She states that most of her time is now taken up with her local orchestra group, where she plays the clarinet. 

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