case_images: PMC11445011_01
case_images: Chest X-ray images of the patient. The chest X-ray image (A), obtained on day 1, showed enhanced lung markings in both lungs and an enlarged heart shadow. No lesions were found in the lungs. The diaphragmatic surface of each lung was smooth, and costophrenic angles were in shape. The chest X-ray image (B), obtained on day 7, showed multiple patchy and flaky shadows in the lungs. The diaphragmatic surface and costodiaphragmatic angle of the left lung were blurred. The diaphragmatic surface and costophrenic angle in the right were smooth.
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case_images: PMC11445011_01_fmed-11-1457413-g001.jpg
case_images: fig1
case_images: The chest X-ray of the patient showed no abnormality on the lung (Figure 1A). Unlike the previous chest radiograph, pulmonary edema was graded depending on the chest X-ray, clearly abnormal (Figure 1B).
case_images: Brain MRI images of the patient. In the T1-weighted image (A), there was an adhesion around the mesencephalic aqueduct. In the T2-weighted image (B), the ventricular system was not enlarged. Brain sulci and brain cleft were widened. In diffusion-weighted imaging (DWI) (C,D), hyperintense signals could be seen in the left temporo-parieto-occipital lobe, bilateral frontal lobe, and corona radiata.
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case_images: PMC11445011_01_fmed-11-1457413-g002.jpg
case_images: fig2
case_images: The ventricular system of the brain did not become enlarged at the initial stage (Figure 2).
case_images: Chest CT images of the patient. The CT chest images (A-C) showed that the texture of both lungs was enhanced, and patchy shadows, increased density shadows, and ground-glass shadows in the lungs were seen. There was partial consolidation in the lung tissue.
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case_images: PMC11445011_01_fmed-11-1457413-g003.jpg
case_images: fig3
case_images: Moreover, increased lung markings were observed on the computed tomography (CT) scan imaging (Figure 3).
case_images: The timeline of the patient's disease progression.
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case_images: PMC11445011_01_fmed-11-1457413-g004.jpg
case_images: fig4
case_images: The chest radiography indicated pulmonary edema and suggested an infection in the lungs of this patient (Figure 4B). On day 15, the patient was still difficult to wean from invasive mechanical ventilation, so the tracheotomy was performed (Figure 4).