Presentation
Check ICC position.
Patient Data
Age: 30 years
Gender: Male
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107615/annotated_viewer_json?lang=us"}
Small left pneumothorax with a left apically directed intercostal catheter in situ. (This was iatrogenic in this case)
Bilateral diffuse symmetrical airspace opacities. No pleural effusion. Normal heart size.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107616/annotated_viewer_json?lang=us"}
Relatively symmetrical bilateral multilobar ground glass opacities and septal thickening - crazy paving.
Well-defined geographic regions of spared normal lung.
Pleural spaces are clear.
No mediastinal lymphadenopathy.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/107617/annotated_viewer_json?lang=us"}
Markedly reduced ground glass opacities and septal thickening post whole lung lavage.
Case Discussion
Lung Lavage Cytopathology: Large amount of PAS+ proteinaceous fluid. GMS stain negative for fungi and PJP.
Anti GM-CSF antibody: positive.
Conclusion: pulmonary alveolar proteinosis
Unable to process the form. Check for errors and try again.