Presentation
Known case of scleroderma presented with shortness of breath.
Patient Data
Age: 30 years
Gender: Female
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Info
CT scan of the chest shows scattered subpleural small cysts not reaching the degree of honeycombing (microcystic honeycombing).
Dilated lower esophagus.
Case Discussion
Subpleural cysts are features of NSIP, but compared to those of UIP, these cysts are smaller and limited in extent. The term "microcystic honeycombing" is used for these cystic changes in NSIP, as opposed to the macrocystic honeycombing seen in UIP.
Scleroderma patients tend to have NSIP changes rather than UIP in the majority.
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