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Image 4
Acute exacerbation, high magnification

At higher magnification, aggregates of organizing pneumonia (op) can be seen in the residual alveolar spaces surrounding collapsed alveoli. Fibrosis is present in the alveoli as
well (f). These findings are consistent with acute exacerbation
of IPF. In some cases diffuse alveolar damage with hyaline membranes
can be seen.
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