An 80-year-old female patient began her current condition the day before her admission, reported an episode of headache and disorientation. With 70% oxygen saturation, no oxygen use at home. Weight loss of 11 kg in 6 months, in recent weeks episodes of thermal rise in the mornings, dry cough and progressive dyspnea with antibiotic treatment and paracetamol, without significant improvement. The images presented were obtained by tthe emergency department where she assisted.