Week 444: Case 5

1. Presented by Peter Illei, M.D. and prepared by Aatur Singhi, M.D., Ph.D.

51 y.o. African American female patient with shortness of breath and interstitial lung disease. A CT was obtained that showed impressive traction bronchiectasis, pleural-based fibrosis diffusely in the upper and lower lung fields. She has esophageal strictures that required dilation and Her ANA titer is >320 (speckled, homogeneous).

images/1alex/07262010case5image1.jpg
images/1alex/07262010case5image2.jpg
images/1alex/07262010case5image3.jpg
images/1alex/07262010case5image4.jpg