case_images: PMC6330791_01
case_images: Chest radiograph showing bilateral pneumothoraces and bilateral apical fibrosis (a). High-resolution computed tomography of the chest showing bilateral pneumothorax and subpleural fibrosis and consolidation of the upper and middle lobes (b and c) with relative sparing of the lung bases (d)
case_images: LI-36-75-g001.jpg
case_images: PMC6330791_01_LI-36-75-g001.jpg
case_images: F1
case_images: Chest radiograph showed bilateral pneumothoraces and bilateral upper zone infiltrates [Figure 1a]. There were also areas of subpleural consolidation and mosaic attenuation [Figure 1b-d].
case_images: Photomicrograph of lung biopsy showing fibrocollagenous tissue (H and E, x200) (a and b). Photomicrograph highlighting the presence of excessive elastin fibers in the same areas using the elastin van Gieson stain (c and d)
case_images: LI-36-75-g002.jpg
case_images: PMC6330791_01_LI-36-75-g002.jpg
case_images: F2
case_images: A CT-guided biopsy was performed from the right upper lobe, which showed visceral pleural thickening with collagenous fibrosis, subpleural elastosis, and intra-alveolar collagenous fibrosis [Figure 2].