Pleuroparenchymal Fibroelastosis: A New Entity within the Spectrum of Rare Idiopathic Interstitial Pneumonias

Figure 5

Case  2. (a) Initial chest radiograph after the diagnosis of breast cancer and before chemotherapy and radiotherapy treatment was normal. (b), (c), and (d) Chest radiographs evolution along two-year and two-month interval reveal progressive worsening. Notice progressive gradual loss of lung volume at the expense of the upper lobes, which is manifested by superior shrinkage and distortion of the pulmonary hila, as well as biapical pleural thickening. (e) Lateral chest radiograph shows flattening of the chest, observed by the decreased anteroposterior diameter of the rib cage (arrow).

(a)

(b)

(c)

(d)

(e)