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MSRACLIN4-013

Mr Tonsky is a 52 year old man who was diagnosed with Rheumatoid Arthritis 15 years ago. He is taking weekly Methotrexate. He reports increasing shortness of breath over the last 18 months. On examination, he has bilateral fine inspiratory crepitations in the lower lung zones.

Based on the above information, what is the most likely diagnosis?

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