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The images show reticular opacities with subpleural sparing and lower lobe predominance without honeycombing. This is a pattern typically seen with a non-specific interstitial pneumonia (NSIP) pattern that is the commonest ILD seen in patients with scleroderma.


A video explaining the answer and the differentials is available here - https://www.themeditube.com/best_deals/290 (Case 3)


To know more, you can buy the book “Computed Tomography of Interstitial Lung Diseases” at either of these places

http://refindia.net/ref/activities/publication/book.htm or


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