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Fig. 1C. 72-year-old woman who underwent double lung transplantation 5
years earlier because of chronic obstructive pulmonary disease. Axial
high-resolution CT scan obtained 19 months after B shows advancing
bilateral coarse opacities with cystic changes, architectural distortion, and
additional bilateral volume loss, all suggestive of lung fibrosis. Note
interval appearance of persistent right pneumothorax that occurred after open
lung biopsy. Arrow indicates surgical metal clip at site of lung biopsy.