case_images: PMC7569535_01
case_images: Scan of the chest. Initial presentation: axial (A), coronal (B) and sagittal (C) planes showing bilateral ground glass opacities surrounding cystic lesions or emphysematous destruction; (D) One year evolution with steroid treatment: regression of ground glass opacities
case_images: SVDLD-37-79-g001.jpg
case_images: PMC7569535_01_SVDLD-37-79-g001.jpg
case_images: F1
case_images: Histological analysis of the lung biopsy.. (A) Left lower lobe biopsy (HPS coloration, x4): Emphysema and desquamative interstitial pneumonia patterns, "plump" macrophages. Numerous giant-epithelioid granulomas without necrosis, granulomas with micro calcifications and Schaumann bodies.. (B) Left lower lobe biopsy (HPS coloration, x20): Pneumocytes hyperplasia, "plump" macrophages within alveolar spaces
case_images: SVDLD-37-79-g002.jpg
case_images: PMC7569535_01_SVDLD-37-79-g002.jpg
case_images: F2
case_images: We did not find foamy macrophage that could evoke an amiodarone impregnation (Fig. 2).
case_images: Mineralogical analysis of lung biopsies. Repartition diagram of mineralogical particles observed with microscope.. Comparison with a reference population (SEM-EDX in situ analysis of 53 blocks of pulmonary parenchyma from forensic institute of Lyon, 4050 particles analysed)
case_images: SVDLD-37-79-g003.jpg
case_images: PMC7569535_01_SVDLD-37-79-g003.jpg
case_images: F3
case_images: This analysis revealed abnormally high rates of zirconium compounds (5.2% versus 0.0%), aluminium compounds (4.4% versus 0.05%), aluminium oxide (2.0% versus 0.2%) and steel (14.0% versus 0.6%) in our patient compared to a reference population from the Forensic Institute of Lyon (Fig. 3) .