case_images: PMC5971339_01
case_images: Chest radiograph on the day of admission noted indistinct increased markings and a patchy opacity in the right lower lung.
case_images: CRIOG2018-5803479.001.jpg
case_images: PMC5971339_01_CRIOG2018-5803479.001.jpg
case_images: fig1
case_images: Chest radiography featured indistinct increased markings and a patchy opacity in the right lower lung (Figure 1).
case_images: Chest computed tomography angiography (CTA) on the day of admission noting patchy infiltrate in the right middle and lower lung lobes and small bilateral pleural effusions.
case_images: CRIOG2018-5803479.002.jpg
case_images: PMC5971339_01_CRIOG2018-5803479.002.jpg
case_images: fig2
case_images: Chest computed tomography angiography (CTA) found no evidence of pulmonary embolism but did reveal a patchy infiltrate in the right middle and lower lobes with small bilateral pleural effusions and enlarged hilar lymph nodes (Figure 2).
case_images: Repeat chest computed tomography angiography (CTA) on hospital day 5 featuring progressive ground-glass opacities bilaterally, which, in the setting of continued hemoptysis, was concerning for diffuse alveolar hemorrhage.
case_images: CRIOG2018-5803479.003.jpg
case_images: PMC5971339_01_CRIOG2018-5803479.003.jpg
case_images: fig3
case_images: A repeat chest CTA noted progressive ground-glass opacities bilaterally (Figure 3), which, in the setting of continued hemoptysis, increased concern for diffuse alveolar hemorrhage (DAH).
case_images: Brain magnetic resonance imaging (MRI) demonstrated symmetrical bilateral hyperintensities on T2-weighted imaging and fluid-attenuated inversion recovery (FLAIR) sequences consistent with cerebrocortical edema.
case_images: CRIOG2018-5803479.004.jpg
case_images: PMC5971339_01_CRIOG2018-5803479.004.jpg
case_images: fig4
case_images: Urgent brain MRI demonstrated symmetrical bilateral hyperintensities on T2-weighted imaging and fluid-attenuated inversion recovery (FLAIR) sequences consistent with cerebrocortical edema (Figure 4); there was no evidence of acute infarct or hemorrhage.