GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info

Scleroderma with interstitial fibrosis

Case contributed by Natalie Yang
Diagnosis almost certain


Shortness of breath.

Patient Data

Age: Adult
Gender: Female

There are characteristic changes of pulmonary fibrosis, particularly in the bases and in the subpleural lung. Honeycomb change, intralobular septal thickening and traction bronchiectasis are all present. No pleural effusion or obvious nodal enlargement is visible.

The esophagus is dilated and air filled.

Case Discussion

The combination of basal pulmonary fibrosis and a dilated esophagus, is certainly suggestive of scleroderma.  Although not pathognomonic it should be considered highly likely, especially in a woman. 

In this case, the patient had clinically established scleroderma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.