PMC10184060_01
Chest X-ray showing bilateral patchy infiltration upon admission
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Fig1
Chest X-ray (Fig. 1) revealed patchy bilateral infiltration.
CT pulmonary angiography at presentation showing diffuse patchy consolidation with few reactive lymph nodes
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Fig2
A CT pulmonary angiography (Fig. 2) revealed bilateral diffuse patchy consolidation with no pulmonary embolus and few mediastinal reactive lymph nodes.
Chest X-ray showing worsening of the previously noted bilateral patchy infiltration upon recurrent admission
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Fig3
A repeated chest X-ray (Fig. 3) was performed, which showed worsening of the patchy infiltration bilaterally.
High-resolution computed tomography of the chest showing patchy bilateral areas of consolidations and ground-glass opacities with early changes of fibrosis
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Fig4
Hence, a high-resolution computed tomography of the chest (HRCT) (Fig. 4) was carried out, which revealed patchy bilateral areas of consolidation and ground-glass opacities with early changes of fibrosis and enlarged mediastinal and hilar lymph nodes.
Bronchial biopsy shows a non-caseating granuloma with minimal inflammatory cell infiltrate (H&E stain)
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Fig5
A bronchial biopsy (Fig. 5) was done which showed a non-caseating granuloma with minimal inflammatory cell infiltrate compatible with sarcoidosis (H&E stain).
A repeated high-resolution computed tomography of the chest revealed the total subside of the previously noted diffuse pulmonary ground-glass opacities with patchy para-hilar consolidations
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Fig6
Repeated HRCT of the chest (Fig. 6), revealed the total subside of the previously noted diffuse pulmonary ground-glass opacities with patchy para-hilar consolidations.