PMC4347543_01
Contrast enhanced computed tomography revealing Crazy paving patterned diffuse ground glass attenuation with inter/intralobular septal thickening, representing diffuse alveolar damage, both lungs (black arrow).
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Fig1
A simple chest x-ray revealed a bilateral pulmonary infiltration, while contrast-enhanced chest computed tomography showed ground glass opacities with a crazy paving appearance (Figure 1).
Histology of the left lung, pulmonary alveolar proteinosis high magnification photomicrograph showing complete filling of alveoli with periodic-acid-Schiff-positive granular material in preserved alveolar architecture (black arrow) (PAS, x400).
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PMC4347543_01_12995_2015_48_Fig2_HTML.jpg
Fig2
Microscopically, the transbronchial lung biopsy showed complete filling of alveoli with periodic-acid-Schiff-positive granular material in the preserved alveolar architecture (Figure 2).
Whole lung lavage fluid, first bottle (left and upper) is milky, opaque fluid and thick sediment layer. Last bottle (right lower) is fade compared to previously bottle and no sediment.
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PMC4347543_01_12995_2015_48_Fig3_HTML.jpg
Fig3
Whole-lung lavage was performed under general anesthesia (Figure 3).