PMC4932622_01
High resolution CT scan of the chest pre- (A) and post- (B) whole lung lavage. (A) At the initial presentation of the patient, diffuse "crazy-paving" pattern was observed, consisting of scattered ground-glass opacities with superimposed thickened interlobular septa. Heart size is normal. No pneumothorax, pneumomediastinum or pleural effusion is seen. (B) After whole lung lavage was performed, there is marked improvement of the previously mentioned opacities, with only a few septal thickenings and ground glass opacities remaining.
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CT scan of the chest showed a diffuse "crazy paving" pattern, raising concern for PAP (Fig. 1A). Her clinical and radiological status post whole lung lavage was extremely ameliorated, requiring only 1/2 Lpm nocturnal supplemental oxygen (Fig. 1B).