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Scleroderma-related interstitial lung disease

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Breath shortness and cough.

Patient Data

Age: 45 years
Gender: Female

There are bilateral interlobular septal thickening and subpleural lines peripherally and basally, accompanied by small tractional bronchiectasis and air cysts.

A dilated patulous esophagus is present, particularly at the distal portion. 

Case Discussion

The combination of basal pulmonary fibrosis and a dilated esophagus is undoubtedly suggestive of scleroderma. (known case)

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