case_images: PMC6341862_01
case_images: Extensive diffuse bilateral interstitial and patchy areas of parenchymal density. Pleural thickening suspected bilaterally
case_images: ATM-14-94-g001.jpg
case_images: PMC6341862_01_ATM-14-94-g001.jpg
case_images: F1
case_images: His X-ray at presentation showed extensive interstitial thickening with patchy areas of parenchymal densities bilaterally and suspected cardiomegaly [Figure 1].
case_images: Fibrotic changes and traction bronchiectasis are seen at both lungs with upper lobes predominance in keeping with interstitial lung disease
case_images: ATM-14-94-g002.jpg
case_images: PMC6341862_01_ATM-14-94-g002.jpg
case_images: F2
case_images: He underwent a high-resolution computed tomography chest which showed pleuroparenchymal fibrotic changes and bronchiectasis in both lungs, with upper lobe predominance in keeping with ILD [Figure 2].
case_images: A section from the upper lobes showing elastic fibrosis in the sub pleural location extending into the parenchyma (blue arrow). Rare lymphoid aggregations are noted (green arrow). Minimal traction bronchiectasis (black arrow)
case_images: ATM-14-94-g003.jpg
case_images: PMC6341862_01_ATM-14-94-g003.jpg
case_images: F3
case_images: PPFE [Figures 3 and 4].
case_images: Sections from the upper lobes showing elastic fibrosis in the sub pleural location extending into the parenchyma (blue arrows). Margins between the normal lung and affected fibrotic areas are sharply defined (orange arrow)
case_images: ATM-14-94-g004.jpg
case_images: PMC6341862_01_ATM-14-94-g004.jpg
case_images: F4
case_images: PPFE [Figures 3 and 4].
case_images: Posttransplant chest X-ray
case_images: ATM-14-94-g005.jpg
case_images: PMC6341862_01_ATM-14-94-g005.jpg
case_images: F5
case_images: He was discharged 45 days after his admission in a stable condition maintaining oxygen saturation of 96% on air [Figure 5].