PMC8285274_01
Chest radiography findings. Chest X-rays at 2 months before (A) and at admission (B). Lung window (C) and mediastinal window (D) on chest computed tomography on admission. The chest radiograph was normal at 2 months before admission (A). The chest radiograph on admission (B) demonstrates symmetric multifocal consolidation and reticulonodular opacities in both lungs. Axial lung window image (C) shows peribronchial ground-glass opacity (GGO), reticulation and consolidation in the periphery of both lungs. There was no significant endobronchial lesion and no axillary lymph node enlargement.
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On admission, she was hypoxemic (room air pulse oximetry, 91%), and chest radiography revealed features of multifocal consolidation and reticulonodular opacities in both lungs (Figure 1A and B). Enhanced chest computed tomography (CT) revealed symmetric peribronchial ground-glass opacity (GGO), reticulation, and consolidation in both lungs (Figure 1C and D).
Chest X-ray on discharge (A) and at 6 months after discontinuation of steroid therapy (B). Note the improvement in multifocal consolidation and reticulonodular opacities in both lungs on the chest radiograph on hospital discharge and no clinical deterioration at 6 months after discontinuation of the steroid therapy.
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Clinical signs and chest X-ray improved after clopidogrel withdrawal and steroid treatment (Figure 2A). A follow-up chest radiograph at 6 months after discontinuation of steroid treatment showed no recurrence, and the patient's health status was good (Figure 2B).