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Volume 152, Issue 2, Pages e21-e24 (August 2017)
Organizing Pneumonia in an Adult With Chronic Recurrent Noninfectious Osteomyelitis Tiffany A. Winstone, MD, Robert D. Levy, MD, Kamran Shojania, MD, Darra Murphy, MD, Andrew Churg, MD, Chris Ryerson, MD CHEST Volume 152, Issue 2, Pages e21-e24 (August 2017) DOI: /j.chest Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 1 MRI of the spine showing diskovertebral lesions in 2007 (A), with worsening disease in 2015 (B). CHEST , e21-e24DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 2 Chest CT scan showing multifocal consolidation at the time of presentation (A). A subsequent chest CT scan after 8 days of antibiotic therapy showed worsening consolidation (B). CHEST , e21-e24DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 3 Photomicrograph of the video-assisted thoracoscopic surgery lung biopsy demonstrating organizing pneumonia. Low-power view (A; ×100) shows tufts of granulation tissue in alveolar ducts (arrows) with a mild chronic interstitial inflammatory infiltrate. At high power (B; ×400) the granulation tissue contains a few plasma cells and eosinophils. CHEST , e21-e24DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 4 Chest CT scan showing initial improvement with high-dose prednisone (A), new areas of patchy consolidation after prednisone was tapered (B), and improvement in consolidation after increased prednisone dosage and 3 months of mycophenolate (C). CHEST , e21-e24DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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