Scleroderma-related interstitial lung disease
Long history of scleroderma on treatment
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Bilateral coarsening of the pulmonary interstitium showing thickening of the inter- and intra-lobular septa with reticular interstitial densities, traction bronchiectasis and honeycombing as well as patchy areas of ground glass opacity intermingled with areas of air trapping. These changes show asymmetrical distribution being more pronounced on the left side and more affection of the lower lobes and subpleural areas.
Patulous dilated esophagus more evident at the lower third.
Right hilar calcified lymph nodes are seen.
Prominent main pulmonary trunk.