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Volume 145, Issue 1, Pages 167-172 (January 2014)
A Patient With Progressive Dyspnea and Multiple Foci of Airspace Consolidation Keith E. Boundy, MD, Armando E. Fraire, MD, Paulo J. Oliveira, MD, FCCP CHEST Volume 145, Issue 1, Pages (January 2014) DOI: /chest Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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Figure 1 A, The patient’s initial chest radiograph displaying multiple foci of airspace consolidation. B, Subsequent radiograph displaying clear interval progression. C, High-resolution chest CT scan with IV contrast displays bilateral peribronchovascular consolidations with scattered areas of ground-glass attenuation. D, Foci of dense airspace consolidation in the lung bases and relative sparing of the periphery. CHEST , DOI: ( /chest ) Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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Figure 2 A, Fiber-optic bronchoscopy showing tracheal ulceration (arrows). B, Hematoxylin-and-eosin-stained section (original magnification × 100) displaying bronchial tissue with squamous metaplasia, atypical squamous epithelium, and evidence of cytopathic effect with prominent multinucleated giant cells (arrows). C, Positive (orange) immunohistochemical staining (original magnification × 100) for herpes simplex virus, particularly prominent within cell nuclei. CHEST , DOI: ( /chest ) Copyright © 2014 The American College of Chest Physicians Terms and Conditions
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