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Updated: Apr 7, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
A 22-Year-Old Nonsmoker With Diffuse Cystic Lung Disease
Kimber Foust1, Jeffrey Albores1, Gregory A Fishbein2
1Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
A young woman experienced progressive shortness of breath and cough over three months. This case highlights the importance of thorough pulmonary evaluation in young, healthy individuals presenting with respiratory symptoms.
Area of Science:
- Pulmonology
- Internal Medicine
Background:
- Idiopathic pulmonary diseases can affect young, healthy adults.
- Progressive dyspnea and cough warrant comprehensive diagnostic workups.
Observation:
- A 22-year-old woman presented with a 3-month history of worsening shortness of breath and cough.
- She had no significant past medical history, including smoking, drug use, or known exposures.
Findings:
- The patient was otherwise fully functional, even attending her college graduation shortly before evaluation.
- Initial presentation was notable for the absence of typical risk factors for lung disease.
Implications:
- This case underscores the need to consider a broad differential diagnosis for respiratory symptoms in young adults.
- Early and accurate diagnosis is crucial for effective management of pulmonary conditions.
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