PMC9617725_01
Chest X-ray on admission. Note the bilateral interstitial pattern with bilateral diffuse lung involvement.
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fig1
A chest X-ray revealed predominantly right-sided bilateral alveolar interstitial infiltrates (Figure 1).
CT scan of the patient during admission showing extensive pulmonary involvement with a crazy-paving pattern (septal thickening and ground-glass opacity) in a patchy distribution throughout the lobes.
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fig2
Computerized tomography (CT) angiography of the lung revealed extensive bilateral involvement consisting of a crazy-paving pattern with septal thickening, ground-glass opacities, and diffuse lung involvement (Figure 2).
Samples of the saline solution obtained during WLL. Note how the colour clears during the procedure.
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fig3
No complications were reported (Figure 3).
(a) One month after WLL. (b) Five months after WLL. Significant decrease in ground-glass opacity and septal thickening, although discrete patchy opacities persist in the lower fields. Note the interlobular thickening of diffuse distribution.
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fig4
One month after the WLL took place, the spirometry revealed an improvement of 14% in DLCO and a significant improvement in the crazy-paving pattern on the CT scan, although all the lung lobes continued to be involved (Figure 4).