case_images: PMC4605260_01
case_images: Chest X-ray and chest CT findings in Case 1. Chest X-ray findings on day of admission demonstrating hyperinflated lung fields. Chest CT findings 10 months before case presentation demonstrating severe centrilobular emphysema.
case_images: CRIPU2015-314831.001.jpg
case_images: PMC4605260_01_CRIPU2015-314831.001.jpg
case_images: fig1
case_images: Chest X-ray demonstrated hyperinflated lungs fields (Figure 1). Chest computed tomography (CT) performed 10 months earlier demonstrated severe centrilobular emphysema (Figure 1).
case_images: PMC4605260_02
case_images: Chest CT findings in Case 2. Right upper and middle lobes nodular opacities (a) and lingular bronchiectasis (b). Waxing and waning opacities involving the right upper and middle lobes and lingula (c). Interval resolution of right middle lobe (d) and lingular opacities (e).
case_images: CRIPU2015-314831.002.jpg
case_images: PMC4605260_02_CRIPU2015-314831.002.jpg
case_images: fig2
case_images: Her chest CT showed bronchiectasis and right sided tree-in-bud opacities (Figures 2(a) and 2(b)). Repeat chest CT eight weeks later showed waxing and waning parenchymal opacities with improvement in the right upper lobe but new nodular opacities involving the right middle lobe and lingula (Figure 2(c)). She improved clinically with radiographic resolution of disease (Figures 2(d) and 2(e)).
case_images: PMC4605260_03
case_images: Chest X-ray and chest CT findings in Case 3. Chest X-ray showing stable bilateral nodular opacities and lower lobe predominant interstitial reticular thickening with new small bilateral pleural effusions (a, b). CT of the chest reveals bronchiectasis in the right middle and lingular lobes (c) and tree-in-bud nodular infiltrates in the bilateral lower lobes with new bilateral moderate pleural effusions.
case_images: CRIPU2015-314831.003.jpg
case_images: PMC4605260_03_CRIPU2015-314831.003.jpg
case_images: fig3
case_images: Her chest X-ray showed stable bilateral nodular opacities (Figures 3(a) and 3(b)). Chest CT showed bronchiectasis with bilateral lower lobe tree-in-bud infiltrates (Figures 3(c) and 3(d)).
case_images: PMC4605260_04
case_images: Chest X-ray findings in Case 4. Chest X-ray shows prior left lower lobectomy, stable bilateral nodules, and new consolidation versus atelectasis of the lingula.
case_images: CRIPU2015-314831.004.jpg
case_images: PMC4605260_04_CRIPU2015-314831.004.jpg
case_images: fig4
case_images: Her chest radiograph is shown in Figure 4.