Fig. 1
From: Rapidly progressive respiratory failure after helminth larvae ingestion
A Axial image from high resolution CT (HRCT) scan of the chest 4 years prior to decompensation, showing subpleural reticulation (curved arrows) and traction bronchiolectasis as well as ground glass opacities (arrowheads). Heart size was at that time normal. B Axial image from HRCT scan performed after patient's respiratory decline, showing increased ground glass abnormality (arrowheads) as well as progressive fibrosis denoted by increased subpleural reticular abnormality and traction bronchiolectasis (curved arrows). C Coronal image from prior HRCT scan of chest illustrating reticular abnormality (curved arrows) and ground glass opacity (arrowhead). D Coronal image from HRCT performed after patient's clinical decline, indicating increased diffusing ground glass opacities, worsened fibrotic change (curved arrow), and irregular linear bands not conforming to normal pulmonary vasculature, possibly reflecting additional helminth infiltration of the lung parenchyma. E Post-contrast CT chest performed during the patient's hospitalization with enlarged right heart chambers (marked right atrial dilatation, starred) and flattened interventricular septum indicating right heart strain. A moderate pericardial effusion (curved arrow) is also present