Rheumatoid arthritis (RA) is the most common of the classic connective tiss
ue diseases. Its manifestations in the chest are varied as the pleura, lung
parenchyma, airways, and pulmonary vasculature can all be involved. Tnf ap
proach to a patient with RA and respiratory complaints, radiographic findin
gs, or physiologic abnormalities requires a broad understanding of these ma
nifestations. Moreover, the potential for therapy-related toxicity adds fur
ther complexity to the pulmonary evaluation of these patients.