51 year old female with past medical history of HTN, HLD, lupus (on prednisone), MCTD, ILD, Raynauds on cellcept

NSIP pattern appears similar to most recent prior exams  but slightly progressed in the right middle and left upper lobes when compared to prior high-resolution chest CT
Patulous esophagus with internal fluid, consistent with reflux seen on prior esophagram

TCV 84