![Figure 2.](/tables/wjon734w-g002.jpg)
Figure 2. A repeat chest X-ray (day 7) revealed diffuse bilateral infiltrates or edema, predominantly interstitial in character with cardiomegaly (not significantly improved from admission, in spite of aggressive diuresis).
![Figure 3.](/tables/wjon734w-g003.jpg)
Figure 3. Patient’s CT scan of chest on day 7 (A, B) demonstrated mediastinal lymphadenopathy, diffuses pulmonary nodules, multifocal consolidations in right upper and lower lobe, lingular lobe, and left lower lobe as well as bilateral pleural effusion.
![Figure 4.](/tables/wjon734w-g004.jpg)
Figure 4. Histopathology of transbronchial biopsy from right upper lobe: (A) × 100 magnification and (B) × 400 magnification, showing malignant epithelioid cells with immunohistochemical staining positive for S100, Melan A and MITF, morphologically consistent with metastatic melanoma.