Chest x-ray demonstrates extensive and widespread fluffy airspace opacities, with almost complete white-out of the mid and lower zones on the left.
CT confirms extensive airspace opacities with numerous air-bronchograms. No pleural effusions or evidence of mediastinal adenopathy.
Sputum, right and left main bronchus lavage were positive for malignant cells consistent with carcinoma. A Tru-cut biopsy was suggested by the pathologist to confirm the diagnosis of bronchoalveolar carcinoma, the patient's condition meant that this was not possible.