PMC8604448_01
Bilateral soft tissue swelling of the hands with loss of skin crease and clubbing of the fingers
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Hands examination revealed clubbing, see Figure 1. 
Chest X-ray above shows central vascular prominence with abnormal alveolar opacities in the mid and lower lungs bilaterally in addition to small effusions
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Chest X-ray demonstrated bilateral opacities, see Figure 2. 
High-resolution CT chest above showing diffuse ground-glass opacity in the lungs and bilateral pleural effusion
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