case_images: PMC7512063_01
case_images: Chest X-ray shows diffuse opacities in the upper zone of the right lung. Also, it reveals deviation of the trachea to the right side and blunting of the right costophrenic sinus.
case_images: CRIRH2020-8852515.001.jpg
case_images: PMC7512063_01_CRIRH2020-8852515.001.jpg
case_images: fig1
case_images: L (38% of predicted), a forced expiratory volume in 1 s (FEV1) of 1.50 L (46% of predicted), and an FEV1/FVC 94% and carbon monoxide diffusion capacity (DLCO) of 23 mL/min per mmHg (43% of predicted). Lung radiography revealed increased diffuse opacity in the upper zones of the right lung (Figure 1).
case_images: Thorax HRCT performed in 2019. It shows chronic consolidation with traction bronchiectasis compatible with fibrosis in the apical and posterior segments of the upper lobe which is extending to the superior segment of the lower lobe. Nodular alveolar densities in the lateral basal segment of the right lower lobe are also seen.
case_images: CRIRH2020-8852515.002.jpg
case_images: PMC7512063_01_CRIRH2020-8852515.002.jpg
case_images: fig2
case_images: Thoracic HRCT revealed the chronic consolidation with traction bronchiectasis compatible with fibrosis in the apical and posterior segments of the right upper lobe extending to the superior segment of the right lower lobe (Figure 2).
case_images: Thorax CT performed in 2016. There is no apical fibrotic changes and traction bronchiectasis in the upper zone of the right lung.
case_images: CRIRH2020-8852515.003.jpg
case_images: PMC7512063_01_CRIRH2020-8852515.003.jpg
case_images: fig3
case_images: However, there was no apical fibrotic change, traction bronchiectasis, and parenchymal destruction in the upper lobe of the right lung (Figure 3).