Figure 10.

An 83-year-old woman with dermatomyositis related interstitial lung disease (anti-MDA5 Ab positive). At the time of initial diagnosis (a–c), there was diffuse ground-glass opacification and consolidation with basal and subpleural predominance. Subpleural parenchymal band-like opacity was also seen. One month later (d–f), the lesion became more extensive, and increase of reticulation with traction bronchiectasis, lower volume loss was visible. Note the severe mediastinal emphysema.