PMC4501443_01
A and B. CASE 1. Computed tomography upper and lower image. Mosaic perfusion pattern is seen in the upper areas of the lung (a). Diffuse areas with ground glass appearance, especially in the peripheral part of the lungs is evident. Thickening of the intra and interlobular septae and traction bronchiectases is seen, which was the main reason for suggesting ILD. Several consolidated areas mostly localized subpleural may represent abscesses or infarctions. In the spared parenchyma emphysematous changes appeared, and changes mimicking honeycombing probably represent paraseptal emphysema. C. CASE 2. Computed tomography. Emphysema can be seen in the spared lung parenchyma. Furthermore, large consolidated areas and peribronchial thickening is present. Bronchiectasis most evident in the left lower lobe probably was interpreted as honeycombing. D. CASE 2 FOLLOW-UP. At follow-up HRCT showed extensive emphysema. Bronchiectasis in the left lower lobe is evident.
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PMC4501443_02_gr1.jpg
fig1
A contrast enhanced CT of the chest performed at the local hospital was interpreted as a combination of infection and extensive honeycombing (Fig. 1C) and a diagnosis of infection and pulmonary fibrosis was made. A new HRCT showed complete regression of the consolidated areas and extensive emphysema (Fig. 1D).
PMC4501443_02
A and B. CASE 1. Computed tomography upper and lower image. Mosaic perfusion pattern is seen in the upper areas of the lung (a). Diffuse areas with ground glass appearance, especially in the peripheral part of the lungs is evident. Thickening of the intra and interlobular septae and traction bronchiectases is seen, which was the main reason for suggesting ILD. Several consolidated areas mostly localized subpleural may represent abscesses or infarctions. In the spared parenchyma emphysematous changes appeared, and changes mimicking honeycombing probably represent paraseptal emphysema. C. CASE 2. Computed tomography. Emphysema can be seen in the spared lung parenchyma. Furthermore, large consolidated areas and peribronchial thickening is present. Bronchiectasis most evident in the left lower lobe probably was interpreted as honeycombing. D. CASE 2 FOLLOW-UP. At follow-up HRCT showed extensive emphysema. Bronchiectasis in the left lower lobe is evident.
gr1.jpg
PMC4501443_02_gr1.jpg
fig1
A contrast enhanced CT of the chest performed at the local hospital was interpreted as a combination of infection and extensive honeycombing (Fig. 1C) and a diagnosis of infection and pulmonary fibrosis was made. A new HRCT showed complete regression of the consolidated areas and extensive emphysema (Fig. 1D).