case_images: PMC6701301_01
case_images: Representative axial CT for PE image of our patient upon admission to the intensive care unit showing dense airspace opacities involving predominantly the left upper lobe and small pleural effusion.
case_images: CRIONM2019-6185943.001.jpg
case_images: PMC6701301_01_CRIONM2019-6185943.001.jpg
case_images: fig1
case_images: A CT chest with contrast demonstrated a consolidation in the left lung suspicious for pneumonia and small effusions bilaterally with associated atelectasis (Figure 1).
case_images: Initial sequential lavages from the patient's lingular segment demonstrating obvious DAH.
case_images: CRIONM2019-6185943.002.jpg
case_images: PMC6701301_01_CRIONM2019-6185943.002.jpg
case_images: fig2
case_images: The bronchoscopy revealed inflamed airways (left>right) and increasingly hemorrhagic return on sequential lavages (Figure 2) from the lingular segment of the left upper lobe.
case_images: Repeat sequential lavage after 3 days of methylprednisone from lingular segment demonstrating an improvement in her DAH.
case_images: CRIONM2019-6185943.003.jpg
case_images: PMC6701301_01_CRIONM2019-6185943.003.jpg
case_images: fig3
case_images: We elected to repeat a sequential lavage in the lingular segment, which was dramatically less hemorrhagic (Figure 3).
case_images: Axial CT chest with contrast approximately 3 months later in an outpatient follow-up, demonstrating a marked improvement of her infiltrate.
case_images: CRIONM2019-6185943.004.jpg
case_images: PMC6701301_01_CRIONM2019-6185943.004.jpg
case_images: fig4
case_images: A follow-up CT of the chest demonstrated resolution of the opacities in the left upper lobe (Figure 4).