A 40-year-old woman presented with 6 weeks of dyspnea and nonproductive cough. Two months earlier, she had been hospitalized for 15 days following a high-speed motorcycle accident in which she sustained multiple traumatic injuries. These included facial, cervical vertebral, rib (left first and second, right second and third), pelvic, and tibial fractures as well as pneumomediastinum and a right pneumothorax. That stay was complicated by a prolonged air leak after chest tube thoracostomy with eventual chest tube removal on hospital day nine. Her past medical history included type 2 diabetes mellitus and chronic pain syndrome. Her family history was unremarkable. She was a mother of two with a history of alcohol abuse and tobacco dependence.