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
From the case:
Scleroderma complicated by mycetoma
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Axial lung window

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