Scleroderma complicated by mycetoma
50 years old female with dyspnea, dysphagia and weight loss. She also has history of skin disease
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Bilateral interstitial pulmonary disease with cystic changes more affecting lung bases.
Bilateral basal fungal balls with air crescent sign
Dilated air filled esophagus down to the cardia
Dilated pulmonary artery (PA = 37 mm) due to cor pulmonale