case_images: PMC10691805_01
case_images: - Ulcerated and ulcer-crusted facial lesions in the temporomandibular
  area, lower lip, ear lobe, right nasal wing and jaw.
case_images: 1678-9946-rimtsp-65-S1678-9946202365057-gf01.jpg
case_images: PMC10691805_01_1678-9946-rimtsp-65-S1678-9946202365057-gf01.jpg
case_images: f01
case_images: He had cutaneous lesions in the temporomandibular area, lower lip, ear lobe, right nasal wing and jaw, compatible with those commonly caused by PCM (Figure 1).
case_images: - Mixed from PCM in a 56-year-old man. High-resolution computed
  tomography scan (CT) before (A,B,C) and after treatment (D,E,F); A) CT
  at the level of the upper lobes, depicting patchy ground-glass
  attenuation, ill-defined opacities, airspace consolidation and cavitary
  lesions; B) CT at the level of the carina, showing irregular airspace
  consolidations with associated cavitations, nodules surrounded by ground
  glass, and interlobular septal thickening; C) CT at the lower lobe
  level, showing bilateral consolidations with associated multiple
  confluent nodules; D) CT at the level of the upper lobes, showing mosaic
  attenuation and septal thickening; E) CT at the level of the carina,
  depicting septal thickening and peripheral ill-defined opacities; F) CT
  al the lower lobe level, showing architectural distortion, residual
  peripheral consolidations and traction bronchiectasis.
case_images: 1678-9946-rimtsp-65-S1678-9946202365057-gf02.jpg
case_images: PMC10691805_01_1678-9946-rimtsp-65-S1678-9946202365057-gf02.jpg
case_images: f02
case_images: A computed tomographic (CT) scan of the patient's chest revealed extensive consolidations in the upper right lobe and in both lower lobes, some of which were excavated, along with areas of ground glass opacities, diffuse septal thickening and small right pleural effusion (Figures 2A, 2B and 3C). During the outpatient follow-up, a cranial nuclear magnetic resonance revealed complete resolution of the CNS parenchymal lesions, and a chest CT scan showed marked improvement of the pulmonary parenchyma alterations, with only residual lesions left, mainly in the right lower lobe (Figures 2D, 2E and 2F).
case_images: - High-resolution computed tomography scan of the brain showing a
  ring-enhancing lesion in the splenium of the left corpus
  callosum.
case_images: 1678-9946-rimtsp-65-S1678-9946202365057-gf03.jpg
case_images: PMC10691805_01_1678-9946-rimtsp-65-S1678-9946202365057-gf03.jpg
case_images: f03
case_images: A computed tomographic (CT) scan of the patient's chest revealed extensive consolidations in the upper right lobe and in both lower lobes, some of which were excavated, along with areas of ground glass opacities, diffuse septal thickening and small right pleural effusion (Figures 2A, 2B and 3C). The cranial CT scan found multiple ring-enhancing lesions, which were more pronounced in the splenium of the left corpus callosum (Figure 3).