ABSTRACT
History A 64-year-old man is referred to the respiratory outpatient clinic for assessment. He gives a history of a shortness of breath which has been insidious in onset over the last 4 years. Over the last year, this has been associated with a dry cough which he cannot seem to clear despite several courses of antibiotics. He feels fatigued and had found it more difficult to complete a round of golf, which he used to do twice a week. His weight has remained steady and he denies orthopnoea. There is no relevant past medical history. He is a non-smoker and admits to social drinking only. He takes 75 mg aspirin daily on advice of his general practitioner (GP) but is not on any other regular medication. Occupationally, he is nearing retirement as a school headmaster and denies any history of occupational dust exposure. He lives at home with his wife and keeps no pets.
