case_images: PMC11759079_01
case_images: High resolution computed tomography scan demonstrating bronchiectasis, ground glass opacity and reticulations.
case_images: jchim-15-01-093f1.jpg
case_images: PMC11759079_01_jchim-15-01-093f1.jpg
case_images: f1-jchim-15-01-093
case_images: A high resolution computed tomography (HRCT) scan of her chest showed bilateral ground glass opacities with "crazy paving" pattern, interlobular septal thickening superimposed on chronic interstitial changes with pleural effusion and bronchiectasis and a dilated intrathoracic esophagus (Fig. 1).
case_images: 100x H&E demonstrating intra-alveolar fibroblastic plugs (aka Masson bodies), the hallmark of organizing pneumonia.
case_images: jchim-15-01-093f2.jpg
case_images: PMC11759079_01_jchim-15-01-093f2.jpg
case_images: f2-jchim-15-01-093
case_images: With these findings, a diagnosis of systemic sclerosis sine scleroderma with interstitial lung disease was made and a bronchoscopic cryobiopsy was performed, the results of which revealed organizing pneumonia (Fig. 2).