Pulmonary hemorrhage

Case contributed by Dr Abdallah Al Khateeb

Presentation

ESRD. Hemoptysis.

Patient Data

Age: 60 years
Gender: Female
X-ray

Bilateral interstitial markings mainly at the peri-hilar regions.

CT

Bilateral peri-hilar interstitial thickening with a background of ground glass opacification.

Case Discussion

This case shows the so called crazy paving pattern, which is rather a non-specific finding. However, adding a history of acute hemoptysis, pulmonary hemorrhage is the most likely diagnosis.

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