Fig. 4.

Case 3. Significant facial and lower eyelid edema bilaterally with overlying erythema (heliotrope rash) (A). Erythematous lesions over MCPs (Gottron’s papules) with periungal erythema bilaterally (B). Erythematous rash over forearm (C). Initial CT thorax showing ground glass and reticular interstitial infiltrates in peripheral lobes (D). Repeat CT thorax 5 months later showing progression with patchy bilateral consolidations, ground glass opacities, and “Atoll” sign (central GGO surrounded by circumferential consolidation) (E)