PMC5508482_01
Axial HRCT section at the level of the lower chest reveals multiple tiny centrilobular nodules in the posterior basal segment of the left lower lobe and few nodules in the left lingula, right middle lobe and lateral basal segment of the right lower lobe.
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Few small scattered centrilobular nodules were seen in the right lung in all the lobes (Fig. 1, Fig. 2).
H&E section (200x) showing lung tissue composed of alveolar spaces with flattened lining, a few spaces show desquamation of the lining epithelium. Alveolar spaces are filled with macrophages with vacuoles of varying sizes.
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Trans bronchial lung biopsy (TBLB) revealed histological features suggestive of Lipoid Pneumonia (Fig. 3).
HRCT section at the level of the lower lobes reveals mild cylindrical bronchiectasis in the left lower lobe, faint tiny centrilobular nodules in the left lower lobe, right lower lobe and fibrotic lesions in the left lingula.
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Her follow up HRCT-Chest at the end of one year showed partial resolution of the previous lesions, and patient is clinically stable without any relevant symptoms. (Fig. 4).