Correct!
2. No
While establishing a correct diagnosis in patients with ILD is of paramount importance, one recent study (10) demonstrated that in the majority of patients with undefined ILD, surgical lung biopsy does not lead to a therapeutic change. An accurate diagnosis of a specific type of interstitial lung disease (ILD) requires a multidisciplinary approach working closely with a pathologist, radiologist and pulmonologist that involves obtaining a complete patient history, careful physical examination, laboratory testing and thoracic imaging (11).
Case Conclusion
Goals of care discussions occurred at several points during his ICU stay and on hospital day 40, following his failed trial of azathioprine and corticosteroids, palliative care was consulted and he was transitioned to hospice.
Based on his clinical course and imaging, what is the likely diagnosis? (click on correct answer to move to next panel)