PMC9149606_01
A chest X-ray showing cardiomegaly with widening of carinal angle and
bilateral blunting of costophrenic angle, coarse reticular opacities in both
lungs predominantly in the left lung.
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Next, a chest X-ray was requested for the patient (Figure 1), which revealed cardiomegaly with widening of the carinal angle and bilateral blunting of the costophrenic angle, along with, coarse reticular opacities in both lungs mostly in the left lung corresponding to pulmonary fibrosis.
A direct smear of BALF specimen showing the Lophomonas
trophozoite (arrow head) with tufted and irregular multiple flagella.
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It was a motile ovoid-shaped protozoa with a granular cytoplasm and tufted flagella (Figure 2).