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In clinical practice, RB-ILD is being increasingly diagnosed without surgical lung biopsy in smokers with these HRCT findings as well as in cases where histological findings of bronchoalveolar lavage demonstrate smokers macrophages and absence of lymphocytosis, which are potentially suggestive of hypersensitivity pneumonitis (HP) [9, 28]

or 200 g of manufactured tobacco

You break a rule, you feel like a failure, and because you have already ruined it, the rest of the rule stops feeling worth keeping

When I finished school, I joined Curt in the pipe shop

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