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Fig. 12C —63-year-old man with biopsy-proven desquamative interstitial pneumonia (DIP). HRCT scan at same approximate level as A 13 years later shows extensive fibrotic changes with irregular reticular opacities, traction bronchiectasis, and subpleural honeycombing (arrows). Findings are those of end-stage fibrosis and mimic those of idiopathic pulmonary fibrosis.