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Bring a large pot of water to a boil. Salt generously, then add the macaroni. Cook until al dente, then drain.
Return the pasta to the pan and set over medium heat. Add the butter and the egg yolk and stir vigorously until it is completely combined and the butter is melted.
Stir in the evaporated milk, cheese and mustard.
Stir constantly until the cheese is melted and has formed a creamy sauce.
Season to taste with salt and pepper.