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A 66-year-old woman with abnormal CXR
mycotic aneurysm 으로 anti 4 주간 치료 중이던 환자이며 LGL lymphoma 로 MTX 1 주간격으로 2 회 치료 받았던 환자로 neutropenic fever 발생하면서 CXR 악화 급격히 진행됨 .
Multifocal patchy opacities on the both lungs
TBLB biopsy
Interstitial thickening due to fibroblastic proliferation and intraalveolar fibrinous exudate, consistent with diffuse alveolar damage
Interstitial thickening due to fibroblastic proliferation and intraalveolar fibrinous exudate, consistent with diffuse alveolar damage
Interstitial thickening due to fibroblastic proliferation and intraalveolar fibrinous exudate, consistent with diffuse alveolar damage
GMS stain: several cyst-form microorgnaisms in alveolar spaces
Imunostain of pneumocystis pneumonia antigen
DAD associated with pneumocystitis pneumonia
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