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A 48-Year-Old Woman With Headache and Respiratory Failure

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1 A 48-Year-Old Woman With Headache and Respiratory Failure
Mohammad R. Dalabih, MBBS, Richard E. Sobonya, MD, Veronica A. Arteaga, MD, Linda S. Snyder, MD, Gordon E. Carr, MD  CHEST  Volume 144, Issue 4, Pages (October 2013) DOI: /chest Copyright © 2013 The American College of Chest Physicians Terms and Conditions

2 Figure 1 Chest radiographs. A, admission: basilar opacities most predominant in the right lower lobe. Infection was a consideration. Hiatal hernia was also present. B, First hospital day: increasing basilar consolidation, right side greater than left with a small pleural effusion. C, Third hospital day: severe, diffuse airspace disease most confluent in the lower lobes with a small right-sided pleural effusion. CHEST  , DOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

3 Figure 2 Contrast-enhanced chest CT scans. A, Section in the upper lobe. Diffuse airspace disease is demonstrated, including ground-glass opacities. B, Section through lower lobe showing confluent consolidation with associated air bronchograms. A small to moderate left-sided pleural effusion is present. A chest tube is also seen on the right side. CHEST  , DOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

4 Figure 3 A, Balls of intraalveolar fibroblasts (Masson bodies) are seen (arrows) (original magnification ×250). B, Fibrin aggregates are present (arrow heads) (hematoxylin-eosin stain, original magnification ×400). CHEST  , DOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions

5 Figure 4 Fibrin balls with early organization (arrows) are seen in a background of mild interstitial inflammation and alveolar septal edema (hematoxylin-eosin stain, original magnification ×250). CHEST  , DOI: ( /chest ) Copyright © 2013 The American College of Chest Physicians Terms and Conditions


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