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Scleroderma complicated by mycetoma

Case contributed by Ahmed Abdrabou
Diagnosis probable

Presentation

50 years old female with dyspnea, dysphagia and weight loss. She also has history of skin disease

Patient Data

Age: 50 years
Gender: Female

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

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