PMC6139596_01
Chest X-ray. Posterior-anterior projection revealed bilateral diffuse airspace opacity.
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His initial chest x-ray and CT scan with intravenous contrast demonstrated bilateral diffuse consolidative opacities consistent with DAH (Fig. 1, Fig. 2).
Bronchoalveolar lavage (BAL) showed increasing blood in three consecutive aliquots confirming the diagnosis of diffuse alveolar hemorrhage (DAH).
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This was confirmed with bronchoalveolar lavage, which showed copious bloody secretion in both lungs as well as three consecutive aliquots of blood after saline washing (Fig. 3).
Repeat chest X-ray after plasmapheresis showing resolution of bilateral airspace opacities.
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After two sessions, he made a dramatic recovery, both clinically and radiographically (Fig. 4, Fig. 5).