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Transbronchial Lung Cryobiopsy - Hypersensitivity Pneumonitis

Division of interventional pulmonology Yashoda hospital Hyderabad TBLC- Hypersensitivity Pneumonitis 53yr old male, hypertensive, c/o exertional dyspnea and dry cough, progressive since 5 years. Admitted one year back with exacerbated symptoms Non smoker, non alcoholic Flower merchant since 20years On examination Clubbing ++ Sats 89%, falling to 76% on exertion Velcro rales and squeaks on auscultation Cxr - bilateral basal reticular shadows CT- bilateral lower lobe GGOs and interstitial thickening with no honey coming, traction bronchiolectasis + CTD workup negative TBLC was obtained from left lower lobe with 1.7 and 1.1mm cryo probe HPE with both 1.7 & 1.1mm Probe s/o Hypersensitivity pneumonitis #interventionalpulmonology #womeninip #bronchoscopy