PMC9586509_01
Yellowish dystrophic nails on both hands characteristic of yellow nail syndrome
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PMC9586509_01_3577_Fig1.jpg
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Examination also showed dystrophic yellowish nails on all extremities (Fig. 1) with no objective fever.
(A) Chest x-ray shows worsening infiltration in the right upper lobe as compared with (B) an x-ray taken only 1 month previously. Transthoracic echocardiography was not suggestive of heart failure
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PMC9586509_01_3577_Fig2.jpg
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A chest x-ray showed worsening bilateral infiltrates and pleural effusion compared with the same study findings 1 month earlier (Fig. 2).
(A) CT of the chest showing progressive cystic, cavitary and bronchiectatic changes predominantly affecting the right upper lobe as compared with (B) a CT scan of the chest taken 1 month previously
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PMC9586509_01_3577_Fig3.jpg
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Computed tomography (CT) of the chest showed severe rapid cystic, cavitary and bronchiectatic changes mainly in the right upper lobe with extensive peribronchial thickening and persistent left lower lobe mass-like infiltrate (Fig. 3).
Bronchoscopy images of the trachea and right-sided bronchial airway
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PMC9586509_01_3577_Fig4.jpg
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Mild initial improvement in clinical status was achieved and allowed for bronchoscopy (Fig. 4) which showed copious mucoid secretions.