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Chest x-ray at admission.
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Chest x-ray (Fig. 1) showed linear reticular opacities extending from hila to periphery.
Contrast enhanced computed tomography of abdomen showing massive splenomegaly.
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A subsequent CT chest, abdomen and pelvis (Fig. 2) revealed extensive bilateral confluent alveolar opacities with sub pleural sparing, moderate left and small right pleural effusions, multiple pre- and para-tracheal lymph nodes and massive splenomegaly (27.5 cm craniocaudal).