PMC6701301_01
Representative axial CT for PE image of our patient upon admission to the intensive care unit showing dense airspace opacities involving predominantly the left upper lobe and small pleural effusion.
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A CT chest with contrast demonstrated a consolidation in the left lung suspicious for pneumonia and small effusions bilaterally with associated atelectasis (Figure 1).
Initial sequential lavages from the patient's lingular segment demonstrating obvious DAH.
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The bronchoscopy revealed inflamed airways (left>right) and increasingly hemorrhagic return on sequential lavages (Figure 2) from the lingular segment of the left upper lobe.
Repeat sequential lavage after 3 days of methylprednisone from lingular segment demonstrating an improvement in her DAH.
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We elected to repeat a sequential lavage in the lingular segment, which was dramatically less hemorrhagic (Figure 3).
Axial CT chest with contrast approximately 3 months later in an outpatient follow-up, demonstrating a marked improvement of her infiltrate.
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A follow-up CT of the chest demonstrated resolution of the opacities in the left upper lobe (Figure 4).