Monday, September 8, 2014
A 50 year old man presents with shortness of breath and a cough two days after taking the substance above. He also has melanoptysis (that is, black sputum). He has thermal burns on his thumbs. He is hypoxic and a bronchoscopy is performed. The bronch shows bloody lavage. Cell count shows eosinophilia. The CXR and CT are shown below.
Challenge: What's the diagnosis?
First image is in the public domain, second image is shown under Fair Use.