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Mrs Smith is 67 year old ex-smoker who presents with progressive exertional dyspnoea and dry cough over 4 months. On examination she has fine basal lung crepitations and clubbing is also observed. Chest x-ray is unremarkable but subsequent high resolution CT chest (HRCT) reveals honeycombing cysts and subpleural reticular septal thickening.

What is the most likely diagnosis?

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