case_images: PMC7157807_01
case_images: Chest X-ray showing extensive patchy bilateral consolidation.
case_images: CRIPU2020-7151834.001.jpg
case_images: PMC7157807_01_CRIPU2020-7151834.001.jpg
case_images: fig1
case_images: Chest X-ray noted diffuse, bilateral pulmonary consolidation sparing the apices, and bases with bronchopulmonary cuffing (Figure 1).
case_images: CT of the thorax showing extensive bilateral infiltrates and ground glass type densities (black arrow) sparing the periphery.
case_images: CRIPU2020-7151834.002.jpg
case_images: PMC7157807_01_CRIPU2020-7151834.002.jpg
case_images: fig2
case_images: Computed tomography (CT) imaging showed extensive bilateral airspace disease with increased reticulation, traction bronchiectasis, and ground glass opacities but noted sparing of apical spaces bilaterally (Figure 2).
case_images: Lung biopsy showing organizing pneumonia and foamy macrophages (black arrow). (Hematoxylin-eosin, original magnification x400).
case_images: CRIPU2020-7151834.003.jpg
case_images: PMC7157807_01_CRIPU2020-7151834.003.jpg
case_images: fig3
case_images: Bronchoscopy with transbronchial biopsies were performed and a sample from the right lower lobe was significant for intra-alveolar inflammation including foamy macrophages and activated type II pneumocytes (Figure 3).
case_images: Bronchoalveolar lavage fluid stained with Oil red O highlights numerous macrophages containing lipid deposits, marked with black arrows (lipid-laden macrophages).
case_images: CRIPU2020-7151834.004.jpg
case_images: PMC7157807_01_CRIPU2020-7151834.004.jpg
case_images: fig4
case_images: A histopathology examination on bronchoalveolar lavage (BAL) sample stained with Oil red O showed numerous lipid-laden macrophages and intra-alveolar macrophages containing blackish-brown pigment (Figure 4).