PMC9208993_01
CXR showed bilateral opacities over the right middle and left lower zones.
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Her CXR showed bilateral opacities over the right middle and left lower zones (Figure 1).
Computed tomography pulmonary angiography shows bilateral mass-like density with finger in glove sign.
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Because of acute presentation of pleuritic chest pain with shortness of breath and elevated D-dimer, the team requested CTPA, which was negative for pulmonary embolism but showed soft tissue density masses in both the right and left lungs (Figure 2).
Flexible bronchoscopy revealed whitish, cheesy, and very viscid mucous plugging, which was challenging to be removed by suction.
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It was challenging when attempting suction (Figure 3).