case_images: PMC11298455_01
case_images: Sequential computed tomograms (CTs) of the patient's chest. CT at a local hospital (1A-C) appeared to show a solid shadow in the upper lobe of the left lung. CT on admission (2A-C) showed multiple exudative lesions in both lungs. The next images (3A-C) represent the patient's chest x-ray findings at the time of admission to our hospital, on the 5th and 10th days, respectively. CTs on the 15th day of admission (4A-C) suggested infection in both lungs with partially absorbed and partially enlarged lesions as well as an enlarging pleural effusion on the left side. CTs 1 month after discharge (5A-C) show substantial resorption of the lesions in both lungs.
case_images: fmed-11-1426577-g001.jpg
case_images: PMC11298455_01_fmed-11-1426577-g001.jpg
case_images: F1
case_images: The CT pointed to an infection in the upper lobe of the left lung (Figure 1: 1A-C), and she was given piperacillin-tazobactam (4.5 g q8h as an intravenous infusion) for 4 days. CT scan of the chest suggested infectious lesions in both lungs and a small pleural effusion on each side (Figure 1: 2A-C). A repeat bedside radiograph of the chest showed infection in both lungs, with greater infection in the right lung and partial absorption of infection in the left lung by comparison with the previous (December 1, 2023) CT localization film of the chest (Figure 1: 3B). The bedside chest radiograph was then reviewed again; it pointed to infections in both lungs, similar to the previous one (December 6, 2023), with a small pleural effusion on the left side (Figure 1: 3C). A repeat CT scan of the chest suggested partial resorption of the lesions whereas others had increased, as had the bilateral pleural effusions (Figure 1: 4A-C). A month after discharge, the patient was reexamined by CT of the chest, indicating significant absorption of both lung lesions and pleural effusions (Figure 1: 5A-C).
case_images: Hospitalization timeline and clinical treatments.
case_images: fmed-11-1426577-g002.jpg
case_images: PMC11298455_01_fmed-11-1426577-g002.jpg
case_images: F2
case_images: CT scan of the chest suggested infectious lesions in both lungs and a small pleural effusion on each side (Figure 1: 2A-C). A repeat CT scan of the chest suggested partial resorption of the lesions whereas others had increased, as had the bilateral pleural effusions (Figure 1: 4A-C). A month after discharge, the patient was reexamined by CT of the chest, indicating significant absorption of both lung lesions and pleural effusions (Figure 1: 5A-C). The full timeline of hospitalization and clinical treatment is shown in Figure 2.