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From the following article:

Diagnosis of pulmonary arterial hypertension in a patient with systemic sclerosis

Jörg HW Distler, Marius M Hoeper and Oliver Distler

Nature Clinical Practice Rheumatology (2008) 4, 160-164
doi:10.1038/ncprheum0728

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Figure 1

Chest X-rays of a patient with systemic sclerosis and end-stage pulmonary arterial hypertension.

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