CT progression of a patient with GPA. Discussed in ILD conference that centrilobular nodules aren't just bronchiolitis. Can sometimes be early vasculitis. This patient needed ecmo,steroids, cytoxan,PLEX, ivig 2g/kg. #pccmsky #emimccm #ctchest #ecmo #ILD

Ards on VVA #ecmo with an impella for venting. #pocus shows reduced RVOT vti with notching. Repeat later same day after 2ng/kg/min treprostinil shows notching resolved and VTI increased 3 cm. No other changes were made in between. So many chances to nerd out on one case. #pccmsky #emimccm