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Procedure performed: Fiberoptic bronchoscopy, bronchial biopsy, bronchial washings, bronchial brushings. Preprocedure diagnosis: Abnormal chest x-ray. Postprocedure diagnosis: Inflammation in all lobes, pneumonia. With pleural plaquing consistent with possible candidiasis. The patient was already on a ventilator, so the bronchoscope tube was introduced through the endotracheal tube. We saw 2.5 cm above the carina of the trachea, which was red and swollen, as was the carina. The right lung—all entrances were patent, but they were all swollen and red, with increased secretions. The left lung was even more involved, with more swelling and more edema and had bloody secretions, especially at the left base. This area from the carina all the way down to the smaller airways on the left side had shown white plaquing consistent with possible candidiasis. These areas were brushed, washed, biopsied. A biopsy specimen was also sent for tissue culture, as well as two biopsy specimens sent for pathology. Sheath brushings were also performed. The patient tolerated the procedure well, was still in the ICU, monitored throughout the procedure CPT: ICD-10-CM:

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