Volume 139, Issue 6, Pages (June 2011)

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Presentation transcript:

Volume 139, Issue 6, Pages 1532-1535 (June 2011) A 47-Year-Old Woman With Progressive Dyspnea and Hypoxemia After Lung Transplantation Shambhu Aryal, MD, Rayan Ihle, MD, Don Hayes, MD, FCCP, Ketan P. Buch, MD, FCCP CHEST Volume 139, Issue 6, Pages 1532-1535 (June 2011) DOI: 10.1378/chest.10-2856 Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 1 Axial CT scan shows complete collapse of left transplanted lung with endobronchial material. CHEST 2011 139, 1532-1535DOI: (10.1378/chest.10-2856) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 2 Fiberoptic bronchosopy image of the left mainstem bronchus showing a mucoid mass that obstructs it just below the anastomosis. CHEST 2011 139, 1532-1535DOI: (10.1378/chest.10-2856) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 3 Fiberoptic bronchoscopy image of the left mainstem bronchus after removal of the casts. CHEST 2011 139, 1532-1535DOI: (10.1378/chest.10-2856) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 4 Image of the aspirated material obtained during fiberoptic bronchoscopy. Some of this aspirated material shows branching casts. CHEST 2011 139, 1532-1535DOI: (10.1378/chest.10-2856) Copyright © 2011 The American College of Chest Physicians Terms and Conditions

Figure 5 Axial CT scan after removal of the casts shows better aeration of the left lung allograft. Also seen in the same lung are changes consistent with bronchiolitis obliterans syndrome. CHEST 2011 139, 1532-1535DOI: (10.1378/chest.10-2856) Copyright © 2011 The American College of Chest Physicians Terms and Conditions