Respiratory Medicine MCQ for NEET PG & FMGE

A 50-year-old male presents with progressively worsening dyspnea over the past year, occasionally with dry cough. Chest X-ray shows bilateral diffuse reticulonodular opacities. Pulmonary function tests reveal restrictive ventilatory impairment. A diagnosis of idiopathic pulmonary fibrosis (IPF) is suspected. Which of the following physical findings most supports this diagnosis?

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