September 2016 pulmonary case of the month

History of Present IllnessThe patient is a 52 year-old woman with prior renal transplant in 1998 due to complications of pre-eclampsia.She had a recent decline in renal function leading to retransplant on June 23 of this year.She was admitted to the hospital on July 8th with ventricular tachycardia.Treatment with amiodarone was begun with no further ventriuclar tachycardia.She is also taking usual anti-rejection medications. Past Medical History, Social History and Family HistoryOther than the renal transplantation she has no other significant past medical history and has never smoked.Family history is noncontributory.