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Man with shortness of breath and pulmonary consolidation
  1. Mesut Mutluoglu,
  2. Ruben Vandenbulcke,
  3. Kristof De Smet
  1. Department of Radiologie, AZ Delta Campus Brugsesteenweg, Roeselare, Belgium
  1. Correspondence to Dr Mesut Mutluoglu, AZ Delta Campus Brugsesteenweg, Roeselare, 8800, Belgium; mesut.mutluoglu{at}azdelta.be

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Clinical introduction

A 53-year-old man presented with shortness of breath complicated by intermittent and repetitive attacks of productive cough, fever and haemoptysis. He denies any occupational or environmental exposure and reports the use of two cures of antibiotic treatment 1 month apart without satisfying relief. He also reports a night sleep with the air conditioning open and a medical history of atrial fibrillation treated with radiofrequency ablation 3 months previously. Physical examination was unremarkable. A chest CT in lung window coronal reconstruction (figure 1A) demonstrates an area of consolidation with ground glass in the left upper lobe, and an axial section in mediastinal window provides an additional clue to diagnosis (figure 1B). …

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Footnotes

  • Contributors MM and RV contributed to the conception and design of the study. KDS reviewed the manuscript for intellectual content.

  • 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.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.