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Scleroderma

Case contributed by Prashant Gupta
Diagnosis almost certain

Presentation

Long-standing cough, breathlessness, bluish discoloration of both hands.

Patient Data

Age: 30 years
Gender: Male
ct

Fine reticulation with lower lobe dominance, i.e. in a pulmonary fibrosis pattern. No ground glass opacities. Note the dilated esophagus. 

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