Pulmonary manifestations of scleroderma (prone HRCT)

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

A known case of scleroderma presented with mild restriction pattern in respiratory function tests. HRCT in prone position performed for evaluation of the lung parenchyma.

Patient Data

Age: 20 years
Gender: Female

HRCT (prone position)

CT

There are peripheral ground glass opacities with a dilated esophagus.

(Note: there is also a ring artifact in this scan likely caused by calibration failure of one or more detector)

Case Discussion

The findings in a 20-year old female are compatible with pulmonary involvement with scleroderma, which is appears in a non-specific interstitial pneumonitis (NSIP) pattern.

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