PMC8608529_01
Anteroposterior erect chest radiograph at presentation. Frontal view of chest radiograph showing bilateral patchy infiltrates most pronounced in the right lower lobe concerning for multifocal pneumonia. Right PICC line and cardiac recorder device noted in the left anterior chest wall.
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Chest radiograph showed patchy infiltrates, most pronounced in right lower lobe suggestive of multifocal pneumonia (Figure 1).
CT scan of the chest with intravenous contrast at day four of admission. CT chest images (a)-(f) showing patchy opacities of both lungs involving all lobes bilaterally (right greater than left) with some consolidation changes and mild bilateral pleural effusions.
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On day four of his hospital stay, a computed tomography (CT) scan of the chest demonstrated ground glass opacities involving all lobes bilaterally with consolidation at bilateral lung bases (Figure 2).
Surgical biopsy obtained from right lung. Pathology with hematoxylin-eosin stain at 200x magnification shows organizing pneumonia in a background of diffuse alveolar damage.
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On hospital day 18, lung biopsy result was consistent with cryptogenic organizing pneumonia (Figure 3).
CT scan of the chest with intravenous contrast at 6-month follow-up visit. CT chest images (a)-(f) showing significant interval improvement of ground glass opacities and interstitial infiltrates in the lungs with just a few markings remaining in the lung bases, suggesting interval resolution of the inflammatory process.
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A follow-up chest CT scan of the patient at 6 months showed significant interval improvement of the ground glass opacities and interstitial infiltrates in the lungs with just a few markings remaining in the lung bases (Figure 4), suggesting interval resolution of the inflammatory process.
Flow chart summarizing hospital course of patient.
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A summary of the patient's hospital course is presented on Figure 5.