case_images: PMC11786693_01
case_images: CT chest axial images showing diffuse bilateral interstitial infiltrates, intermixed with ground glass infiltrates and some cystic changes.
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case_images: PMC11786693_01_gr1.jpg
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case_images: Afterward, she was referred to a pulmonologist, whose high-resolution chest CT scan indicated bilateral reticulonodular infiltrates with cystic changes suggestive of interstitial lung disease (ILD) (Fig. 1).
case_images: chest X-ray (CXR) showing a right pneumothorax, prominent diffuse bilateral interstitial alveolar opacities.
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case_images: PMC11786693_01_gr2.jpg
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case_images: The patient later developed an iatrogenic right-sided pneumothorax, which was confirmed on chest X-ray (Fig. 2).
case_images: Moderately differentiated pulmonary adenocarcinoma with micropapillary component; A. Section shows pulmonary adenocarcinoma with acinar and micropapillary morphology (arrow) (H&E, 40x); B. Tumor cell clusters within alveolar spaces (arrow) (H&E, 20x); C. Bronchoalveolar lavage positive for malignant cell clusters (arrow) (40x); D. The tumor cells are positive for TTF1 immunostaining (20x).
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case_images: PMC11786693_01_gr3.jpg
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case_images: Tumor cells were positive for TTF1 immunostaining (Fig. 3).