case_images: PMC11795241_01
case_images: Patient's first CT showing multiple bilateral peripheral condensations.
case_images: bcr-18-1-g001.jpg
case_images: PMC11795241_02_bcr-18-1-g001.jpg
case_images: F1
case_images: CT scan (figure 1) showed multiple bilateral peripheral condensations, predominantly on the right, suggestive of pneumonia and a pre-sternal silicone implant. Ceftriaxone 2 g once daily and clarithromycin 500 mg twice daily were started, and the patient was admitted to the internal medicine ward.
case_images: Patient's second CT, 7 days later, showing an increase in the extent of bilateral peripheral pulmonary condensations, with the appearance of adjacent ground-glass areas.
case_images: bcr-18-1-g002.jpg
case_images: PMC11795241_02_bcr-18-1-g002.jpg
case_images: F2
case_images: A chest CT scan at day 7 (figure 2) showed a worsening of bilateral peripheral pulmonary condensations with the appearance of adjacent ground-glass areas.
case_images: PMC11795241_02
case_images: Patient's first CT showing multiple bilateral peripheral condensations.
case_images: bcr-18-1-g001.jpg
case_images: PMC11795241_02_bcr-18-1-g001.jpg
case_images: F1
case_images: CT scan (figure 1) showed multiple bilateral peripheral condensations, predominantly on the right, suggestive of pneumonia and a pre-sternal silicone implant. Ceftriaxone 2 g once daily and clarithromycin 500 mg twice daily were started, and the patient was admitted to the internal medicine ward.
case_images: Patient's second CT, 7 days later, showing an increase in the extent of bilateral peripheral pulmonary condensations, with the appearance of adjacent ground-glass areas.
case_images: bcr-18-1-g002.jpg
case_images: PMC11795241_02_bcr-18-1-g002.jpg
case_images: F2
case_images: A chest CT scan at day 7 (figure 2) showed a worsening of bilateral peripheral pulmonary condensations with the appearance of adjacent ground-glass areas.
case_images: Histo-pathological analysis of the transbronchial biopsies showing a foreign body type gigantocellular reaction, partly on material of exogenous appearance suggesting silicone (arrow, 3a). Intraluminal fibrinous plugs with chronic pneumonitis suggesting acute fibrinous and organising pneumonia (circle, 3b) in close association with giant cell containing exogenous material suggesting silicone (arrow). HE, 20x
case_images: bcr-18-1-g003.jpg
case_images: PMC11795241_02_bcr-18-1-g003.jpg
case_images: F3
case_images: Histo-pathological analysis of the TBBs showed a foreign body type gigantocellular reaction on the material of exogenous, globular, transparent appearance suggesting silicone (figure 3a). Focally in the surrounding area, intraluminal fibrin balls associated with fibromyxoid plugs and chronic pneumonitis were noted, suggesting acute fibrinous and organising pneumonia (figure 3b).