This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General pathology, Subject name: Pathology
Which one of the following manifestations is more likely to be found in the diffuse form of systemic sclerosis than in the limited variant ? 
Select and explain. 
A. Esophageal dysmotility, B. Pulmonary involvement, C. Distal skin thickening, D. Renal disease
B: Pulmonary involvement
Answer: B: Pulmonary involvement 
Explanation: Harshmohan textbook of pathology 7th edition. *diffuse fibrosis may lead to contraction of lung substance there may be epithelium lined honey combed cyst of bronchioles.