PMC6341862_01
Extensive diffuse bilateral interstitial and patchy areas of parenchymal density. Pleural thickening suspected bilaterally
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F1
His X-ray at presentation showed extensive interstitial thickening with patchy areas of parenchymal densities bilaterally and suspected cardiomegaly [Figure 1].
Fibrotic changes and traction bronchiectasis are seen at both lungs with upper lobes predominance in keeping with interstitial lung disease
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F2
He underwent a high-resolution computed tomography chest which showed pleuroparenchymal fibrotic changes and bronchiectasis in both lungs, with upper lobe predominance in keeping with ILD [Figure 2].
A section from the upper lobes showing elastic fibrosis in the sub pleural location extending into the parenchyma (blue arrow). Rare lymphoid aggregations are noted (green arrow). Minimal traction bronchiectasis (black arrow)
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F3
PPFE [Figures 3 and 4].
Sections from the upper lobes showing elastic fibrosis in the sub pleural location extending into the parenchyma (blue arrows). Margins between the normal lung and affected fibrotic areas are sharply defined (orange arrow)
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F4
PPFE [Figures 3 and 4].
Posttransplant chest X-ray
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F5
He was discharged 45 days after his admission in a stable condition maintaining oxygen saturation of 96% on air [Figure 5].