Figure1. Chest X-ray on initial presentation showed bilateral diffuse
airspace opacity and patchy consolidative changes at both lung
parenchyma.
Initial management included transfusion to two units of packed red blood
cells, starting antibiotics to cover the possibility of community
acquired pneumonia while the admission process was initiated.
Ultrasound scan of both kidneys showed normal size and no evidence of
obstruction. The next day, the patient laboratory tests showed no
improvement in his renal parameters, and he started to feel more
shortness of breath. Computed tomography (CT) scan of the chest was done
(figure 2), followed by bed Bedside bronchoscopy, and the presence of
pulmonary hemorrhage was confirmed.