PMC4501527_01
The chest CT showed diffuse ground-glass opacities in both lung field (A). Bronchoscopic finding showed productive yellow sputum from trachea and bronchi (B). Bronchoalveolar lavage (BAL) revealed a progressively more bloody return, typical of diffuse alveolar hemorrhage (C).
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A chest X-ray and computed tomography (CT) scan on admission showed diffuse ground-glass opacities in both lung fields (Fig. 1A). Surprisingly, fiberoptic bronchoscopy showed productive yellow sputum in the trachea and both bronchi (Fig. 1B) that was thought to be consistent with bacterial infection. Whilst bronchoalveolar lavage (BAL) revealed a progressively more bloody return with 86% neutrophils and 9.7% lymphocytes, typical of DAH (Fig. 1C).