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Bilateral Symmetrical Upper-Lobe Opacities*: An Unusual Presentation of Bronchiolitis Obliterans Organizing Pneumonia

Claus Kroegel, MD, PhD, FCCP; Angelika Reiβig, MD; Ulf Hengst, MD; Bettina Mock, MD; Daniela Häfner, MD; Paul Reinhard Grahmann, MD, FCCP
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*From the Department of Pneumology, Medical Clinic IV, Friedrich-Schiller-University, Jena, Germany.

Correspondence to: Claus Kroegel, MD, PhD, FCCP, Department of Pneumology, Medical Clinic IV, Friedrich-Schiller-University, Erlanger Allee 101, 07740 Jena, Germany; e-mail: kroegel@polkim.med.uni-jena.de



Chest. 2000;118(3):863-865. doi:10.1378/chest.118.3.863
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A 45-year-old man was admitted with nonresolving fever, cough, and dyspnea 2 months after a common cold. His chest radiograph demonstrated bilateral symmetrical upper-lobe opacities reminiscent of tuberculosis. Transbronchial biopsy revealed inflammatory nonspecific alveolar lesions suggestive of bronchiolitis obliterans organizing pneumonia, which responded well clinically and radiologically to oral corticosteroids. Here, the case of a previously unreported radiographic manifestation of bronchiolitis obliterans organizing pneumonia is presented.

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