Typical imaging features of crazy paving, which is a combination of:
- smooth thickening of interlobular and intralobular septal lines, and
-
groundglass opacities
This patient was submitted to bronchoalveolar lavage further confirming the diagnosis of pulmonary alveolar proteinosis: "Microscopy: Smears showing acute inflammatory cells, alveolar macrophages, and background of PAS-positive proteinaceous material, all in keeping with alveolar proteinosis."