Contributed by Antonio Alvarez-Mendoza, MD, William Herlihy, MD* and Benjamin Blend, MD*
* Department of Pathology, Baylor University Medical Center, Dallas, TX
Published on line in August 1997
The patient was a 28 years old white female with one year history of progressive dyspnea and cough. She was seen at Baylor University Medical Center, Dallas TX. Her Chest films showed marked bilateral interstitial pulmonary infiltrates with mass lesions (Image 01). Spirometry reveled a partially reversible obstructive pattern, and right heart catheterization demostrated marked pulmonary hypertension. Left thoracotomy with open lung biopsy was done. Unfortunately 2 days after the procedure, the patient's condition worsened with increased infiltrates and lung consolidations. Multiple organ failure ensued followed shortly by her death. An autopsy was performed.