case_images: PMC6886625_01
case_images: Chest radiographs showing a dropped heart and lung hyperinflation which appeared soon after symptom onset. CTR: cardiothoracic ratio
case_images: 1266_Fig1.jpg
case_images: PMC6886625_01_1266_Fig1.jpg
case_images: f1-1266-1-9687-1-10-20191023
case_images: Chest radiography revealed a dropped heart and a hyperinflated lung which developed after symptom onset (Fig. 1).
case_images: CT of the abdomen showing intraperitoneal lymph nodes still present but reduced in size
case_images: 1266_Fig2.jpg
case_images: PMC6886625_01_1266_Fig2.jpg
case_images: f2-1266-1-9687-1-10-20191023
case_images: CT of the whole body showed bulky intraperitoneal lymph nodes reduced in size, with other previously enlarged lesions now normalized (Fig. 2).
case_images: CT of the chest showing a mosaic pattern of air trapping enhanced at the expiratory phase (chest CT before chemotherapy was normal)
case_images: 1266_Fig3.jpg
case_images: PMC6886625_01_1266_Fig3.jpg
case_images: f3-1266-1-9687-1-10-20191023
case_images: High-resolution CT (HRCT) of the chest revealed bronchial dilatation and a mosaic pattern consisting of high- and low-density areas that represented bronchiolar air trapping, which was enhanced at the end-expiratory phase, although CT of the chest before chemotherapy had not demonstrated abnormal findings (Fig. 3).
case_images: Pulmonary function testing with a bronchodilator revealing severe obstructive and restrictive failure without bronchodilator response
case_images: 1266_Fig4.jpg
case_images: PMC6886625_01_1266_Fig4.jpg
case_images: f4-1266-1-9687-1-10-20191023
case_images: Pulmonary function testing (PFT) revealed severe obstructive and restrictive failure (forced expiratory volume in 1 s, 19% of predicted; forced vital capacity, 43.9% of predicted) without bronchodilator response (Fig. 4).
case_images: Pulmonary ventilation and perfusion scintigraphy revealing a mosaic pattern of radio-isotope uptake decrease without ventilation-perfusion mismatch
case_images: 1266_Fig5.jpg
case_images: PMC6886625_01_1266_Fig5.jpg
case_images: f5-1266-1-9687-1-10-20191023
case_images: PFT results had been normal several years previously. Pulmonary ventilation and perfusion scintigraphy revealed a mosaic pattern of radio-isotope uptake decrease without ventilation-perfusion mismatch (Fig. 5).