Presentation
Marked shortness of breath, onset over 3 months from previously well. Smoker. No other past medical history.
Patient Data
Age: 30 years
Gender: Male
From the case:
Alveolar proteinosis
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Bilateral, symmetrical reticulonodular opacification, particularly in medial mid and lower zones, with relative sparing of apices and costophrenic angles. Bilaterally bulky hila suggest lymphadenopathy.
From the case:
Alveolar proteinosis
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Crazy paving pattern of pulmonary opacification: interlobular septal thickening and ground glass opacification.
Relative sparing of lung apices and costophrenic recesses.
Bilateral hilar lymphadenopathy.
Case Discussion
Typical features of alveolar proteinosis.
This case was autoimmune, and the patient was found to have raised LDH and IgG antibodies.