PMC4706396_01
(A) The AP chest X-ray showed a loss of volume in the right lung with ipsilateral mediastinal shift and bilateral interstitial and alveolar infiltrates that were distributed predominantly in the right lung parenchyma with cavitations in the right upper lobe. (B) The CT showed a loss of volume in the right lung and bilateral pseudonodular infiltrates predominantly localized in the right lung.
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A chest X-ray showed bilateral interstitial and alveolar infiltrates that were distributed predominantly in the right lung parenchyma with cavitations in the right upper lobe (Fig. 1A). Crohn's disease, therefore we were not able to ascertain if the chest infiltrates were present before starting treatment with corticosteroids. Computed tomography of her chest showed bilateral pseudonodular infiltrates that were located predominantly in the right lung (Fig. 1B).
(A) The bronchoscopy showed a 90% stenosis of the segmental bronchi of the right upper lobe and signs of chronic inflammation. (B) The control chest X-ray showed a right lung loss of volume with ipsilateral mediastinal shift and significant improvement of the right upper lobe infiltrate and cavitations.
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Bronchoscopy showed a 90% stenosis of the segmental bronchi of the right upper lobe (Fig. 2A). The previously observed infiltrate and cavitation in the right upper lobe had significantly improved (Fig. 2B).