case_images: PMC7450474_01
case_images: Chest X-ray showing bilateral reticulo-nodular infiltrates involving the middle and lower zones and some parts of the upper zones.
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case_images: PMC7450474_01_wellcomeopenres-5-17770-g0000.jpg
case_images: f1
case_images: Chest X-ray ( Figure 1) revealed bilateral reticulo-nodular infiltrates involving the middle and lower zones and some parts of the upper zones.
case_images: High-resolution computed tomography (HRCT) chest showing diffuse ground glass changes with interlobular septal thickening with mosaic attenuation and multiple enlarged calcified mediastinal and hilar lymph nodes.
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case_images: PMC7450474_01_wellcomeopenres-5-17770-g0001.jpg
case_images: f2
case_images: High resolution computed tomography (CT) of the chest ( Figure 2) showed diffuse ground glass changes with interlobular septal thickening with mosaic attenuation and multiple enlarged calcified mediastinal and hilar lymph nodes (separate image of mediastinal section could not be retrieved).
case_images: Lung biopsy showing large non- caseating granulomas with tightly packed central area composed of epithelioid cells, multinucleated giant cells and T- lymphocytes.
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case_images: PMC7450474_01_wellcomeopenres-5-17770-g0002.jpg
case_images: f3
case_images: Bronchoscopy with trans-bronchial lung biopsy revealed non- caseating granulomatous inflammation with characteristic 'asteroid bodies' ( Figure 3 and Figure 4), and was negative for malignancy and tuberculosis.
case_images: Further magnification of the granuloma revealing the characteristic 'asteroid bodies'.
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case_images: PMC7450474_01_wellcomeopenres-5-17770-g0003.jpg
case_images: f4
case_images: Bronchoscopy with trans-bronchial lung biopsy revealed non- caseating granulomatous inflammation with characteristic 'asteroid bodies' ( Figure 3 and Figure 4), and was negative for malignancy and tuberculosis.
case_images: Computed tomography (CT) aortogram showing stenosis of left subclavian artery with almost complete block at distal part and proximal left axillary artery.
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case_images: PMC7450474_01_wellcomeopenres-5-17770-g0004.jpg
case_images: f5
case_images: Figure 5 shows stenosis of the left subclavian artery with almost complete block at the distal part as well as the proximal left axillary artery.