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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.





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