If you are talking about more blood flow through the lungs, that is a perfusion limited situation for O2. The concentration gradient is still large enough for O2 to fully saturate the blood so that PaO2=PAO2. If you have pulm fibrosis though the barrier between alveoli and capillary is thickened and thus O2 poorly diffuses down it's concentration gradient into the blood. So then you have a diffusion problem.