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A previously healthy, 25-year-old man presented with fever, cough and dyspnoea for 1 week. A chest radiograph showed multiple bilateral nodular, mass-like opacities (figure 1A). Moreover, chest CT revealed multiple bilateral dense consolidations with central-air bronchograms and ill-defined micronodular and ground-glass margins (figure 1B). The bilateral hilar and mediastinal lymph nodes were enlarged (online supplementary figure 1A). Blood tests revealed C-reactive protein, ACE and lysozyme levels of 3.98 (normal <0.30) mg/dL, 7.9 (normal <21.4) IU/L …
Contributors YW and KS conceived of the idea. NK wrote the initial draft of the manuscript and selected the images. TM developed the manuscript. All authors discussed the results and contributed to the final manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer reviewed.
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