case_images: PMC4904544_01
case_images: Initial chest radiograph, posterior-anterior view, showing hazy airspace opacification of the lower lobes bilaterally.
case_images: CRJ2016-4064539.001.jpg
case_images: PMC4904544_01_CRJ2016-4064539.001.jpg
case_images: fig1
case_images: Initial chest radiograph demonstrated hazy airspace opacification of the lower lobes bilaterally (Figure 1).
case_images: CT of the thorax depicting diffuse bilateral ground-glass opacities with intralobular septal thickening; the findings are reported by the radiologist to be a crazy paving pattern.
case_images: CRJ2016-4064539.002.jpg
case_images: PMC4904544_01_CRJ2016-4064539.002.jpg
case_images: fig2
case_images: Tomography (CT) of the thorax revealed diffuse bilateral ground-glass opacities with intralobular septal thickening, as well as mild mediastinal, pretracheal, and para-aortic lymphadenopathy (Figure 2). The findings were reported as a crazy paving pattern.
case_images: Photograph of the BAL fluid, demonstrating an opaque, milky appearance.
case_images: CRJ2016-4064539.003.jpg
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case_images: fig3
case_images: BAL fluid from all lobes appeared thin and milky (Figure 3).
case_images: PAS-stained BAL preparation showing PAS positive globular material and supporting a diagnosis of PAP (magnification 400x).
case_images: CRJ2016-4064539.004.jpg
case_images: PMC4904544_01_CRJ2016-4064539.004.jpg
case_images: fig4
case_images: Under microscopic examination, the fluid contained scattered globular Periodic Acid-Schiff positive material, with no malignant cells, fungi, or hemosiderin-laden macrophages (Figures 4 and 5).
case_images: Papanikolaou stained BAL preparation showing abundant globular orangeophilic material along with a few macrophages and leukocytes (magnification 400x).
case_images: CRJ2016-4064539.005.jpg
case_images: PMC4904544_01_CRJ2016-4064539.005.jpg
case_images: fig5
case_images: Under microscopic examination, the fluid contained scattered globular Periodic Acid-Schiff positive material, with no malignant cells, fungi, or hemosiderin-laden macrophages (Figures 4 and 5).
case_images: Posterior-anterior chest radiograph after three sessions of WLL, demonstrating improvement of the infiltrative process.
case_images: CRJ2016-4064539.006.jpg
case_images: PMC4904544_01_CRJ2016-4064539.006.jpg
case_images: fig6
case_images: A radiograph taken before discharge showed improvement in her airspace disease (Figure 6).