Presentation
Increasing shortness of breath.
Patient Data
Age: 70 years
Gender: Male
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Axial lung window

There are changes of ground glass opacification in both lung bases. There is associated early changes of traction bronchiectasis. The esophagus is dilated. The appearances are those of NSIP.
Case Discussion
The lung changes are those of early NSIP. The dilated esophagus is a clue that the cause is an underlying connective tissue disease. This patient had an established diagnosis of systemic sclerosis.