case_images: PMC11088391_01
case_images: The chest HRCT scan from July 26, 2022, taken at the time of initial diagnosis, shows the patient's lungs with multiple nodular opacities, patchy areas, and honeycombing, predominantly in the upper lobes, characterized by uneven densities and some areas showing lucencies and bronchial images. (A) Tracheal bifurcation level: honeycomb of different sizes and infiltrating patchy shadows can be seen in most areas, with the honeycomb as the main change, (B) The bronchial level of the right middle segment: septal thickening with nodular infiltrates and honeycomb of different sizes, more septal thickening with nodular infiltrates than honeycomb, (C) The bronchial level of the basal segment: The local infiltration shadow was visible in a small area, and the honeycomb was not obvious.
case_images: IDR-17-1763-g0001.jpg
case_images: PMC11088391_01_IDR-17-1763-g0001.jpg
case_images: f0001
case_images: These regions showed heterogeneous densities, some dense foci with lucencies, and bronchial images (as shown in Figure 1A-C).
case_images: A follow-up chest HRCT scan from August 16, 2022, during the patient's hospitalization, reveals increased and enlarged lucencies in the upper lobes of both the lungs and more extensive lesions in the lower lobes compared to the images from July 26, 2022. (A) Tracheal bifurcation level: It remained predominant honeycomb with significantly less shaded infiltrated patches, the lobular interval was thinner, (B) The bronchial level of the right middle segment: Like the changes in upper lung, the honeycomb range was expanded, the lobular septum became thinner, and the nodule infiltration was significantly reduced, (C) The bronchial level of the basal segment: The scope of nodular invasion expanded and honeycomb was added.
case_images: IDR-17-1763-g0002.jpg
case_images: PMC11088391_01_IDR-17-1763-g0002.jpg
case_images: f0002
case_images: A repeat HRCT scan revealed uneven lung lucency, thickening of the interlobular septa, disorganized lung markings, multifocal patchy and nodular opacities of different sizes with cystic lucencies, and honeycomb-like changes in the upper lung lobes (as shown in Figure 2A-C). 