PMC6277245_01
A) Chest x-ray at presentation, and B) Chest x-ray prior to home discharge for Case 1.
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Chest x-ray revealed complete atelectasis of the left lung and hyperinflation of the right lung, with small pneumomediastinum (Fig. 1A). Chest x-ray prior to discharge showed complete resolution of the left sided lung opacification noted on earlier imaging (Fig. 1B).
Bronchial mucus cast observed on flexible bronchoscopy in Case 1.
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Fiberoptic bronchoscopy was performed shortly after VV-ECMO initiation, and diagnosis of plastic bronchitis was established based on the presence of extensive bronchial mucus casts (Fig. 2).
PMC6277245_02
A) Chest x-ray at presentation, and B) Chest x-ray prior to home discharge for Case 2.
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Chest x-ray following intubation showed significant right sided parenchymal lung disease, with relative sparing of the left side (Fig. 3A). Chest x-ray prior to discharge showed complete resolution of his unilateral lung disease (Fig. 3B).