I am curious if it is possible to have lung involvement as the first symptom of Scleroderma? I had a severe case of pneumonia and they did x rays and a ct scan, the lung dr said my scan looked suspicious. I go for a follow up August 18th to find out more. I told them in the E.R that I tested positive for Scleroderma but the ER dr said I had no visual signs of it. Is it possible to have lung involvement first?? Help me please?