July 2015 pulmonary case of the month: a crazy case

No abstract available. Article truncated after the first page. History of Present Illness: A 23-year-old woman presented in 2008 at outside institution with dyspnea and diffuse pulmonary infiltrates. She required intubation. After a surgical lung biopsy, she was transferred to the Mayo Clinic Hospital for further care. Past Medical History: She has had a history of progressive dyspnea for several months, otherwise negative. Physical Examination: Vital signs are stable. SpO2 94% on FiO2 of 0.4. She is intubated and there is a chest tube in her right chest. Otherwise the physical examination is unremarkable. Radiography: A thoracic CT scan was performed (Figure 1). Which of the following are present on the thoracic CT scan? 1. Diffuse ground-glass opacities; 2. Interlobular septal thickening and intralobular reticular thickening; 3. Right-sided pneumothorax; 4. 1 and 3; 5. All of the above ..