Patient alcoholic, smoker, and crack user. presenting with clinical symptoms of dry cough, dyspnoea, orthopnea, nocturnal paroxystic dyspnoea, chest pain/tightness, prostration, fever, night sweats and chills.
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Diffuse bilateral pulmonary involvement due to peribronchovascular and subpleural opacities, predominantly central/perihilar, thickening of interlobular septa, and opacities in ground glass at the apexes configuring mosaic paving patterns. Such changes suggest pulmonary interstitial edema, and in this clinical context, "crack lung".
Patient evolved with acute respiratory failure, had to be intubated and needed norepinephrine. After advanced clinical support, the patient had improvement in symptoms and was discharged from ICU.
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