PMC6195231_01
PMC6195231_02
Postero-anterior chest X-rays showing bilateral diffuse nodular infiltrates, similar to miliary TB
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His chest X-ray showed diffuse nodular infiltrates, resembling a pattern interpretable as miliary tuberculosis (Figure 1, Figure 2). The chest X-ray demonstrated a miliary picture (Figure 1).
Lateral chest X-rays showing bilateral diffuse nodular infiltrates, similar to miliary TB
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His chest X-ray showed diffuse nodular infiltrates, resembling a pattern interpretable as miliary tuberculosis (Figure 1, Figure 2).
HR-CT scan showing diffuse ground glass opacities indicative of alveolar haemorrhage and thickened interlobar septae
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Upon referral to a recently established specialist respiratory service, a HR-CT scan showed diffuse ground glass infiltrates (Figure 3, Figure 4).
HR-CT scan showing diffuse ground glass opacities indicative of alveolar haemorrhage and thickened interlobar septae, indicating extent of disease
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Upon referral to a recently established specialist respiratory service, a HR-CT scan showed diffuse ground glass infiltrates (Figure 3, Figure 4).
Bilateral alveolar lavage showing diffuse macroscopic haemorrhage
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Consecutive bilateral alveolar lavage showed diffuse pulmonary hemorrhage (Figure 5), while histology of trans-bronchial biopsy demonstrated iron loaded pulmonary macrophages (Figure 6, Figure 7).
Histology of trans-bronchial biopsy demonstrating iron laden macrophages in silver stain
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Consecutive bilateral alveolar lavage showed diffuse pulmonary hemorrhage (Figure 5), while histology of trans-bronchial biopsy demonstrated iron loaded pulmonary macrophages (Figure 6, Figure 7).
Histology of trans-bronchial biopsy demonstrating iron laden macrophages H&E stain
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Consecutive bilateral alveolar lavage showed diffuse pulmonary hemorrhage (Figure 5), while histology of trans-bronchial biopsy demonstrated iron loaded pulmonary macrophages (Figure 6, Figure 7).