case_images: PMC11349620_01
case_images: Chest tomography pulmonary (A) Coronal section. (B) Axial section. Axial view. There is extensive heterogeneous alveolar occupation involving basal segments of the right lower lobe, with intraparenchymal collection with hydroaerial level of 24 mm in diameter.
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case_images: PMC11349620_01_fmed-11-1374043-g001.jpg
case_images: fig1
case_images: However, contrast-enhanced computed tomography (CT) scan of the thorax and abdomen showed extensive heterogeneous alveolar occupation with a collection and a hydroaerial level (Figure 1).
case_images: CT scan of the abdomen and pelvis with soft tissue contrast window sagittal view shows a coralliform calculus occupying all the right renal collectors with active fistula between the upper collector and the right basal lung parenchyma.
case_images: fmed-11-1374043-g002.jpg
case_images: PMC11349620_01_fmed-11-1374043-g002.jpg
case_images: fig2
case_images: In addition, a coralliform calculus measuring 85 x 34 x 40 mm within the collecting system was noted, thinning the wall and altering the architecture of the genitourinary system (Figure 2).
case_images: Timeline of patient management.
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case_images: PMC11349620_01_fmed-11-1374043-g003.jpg
case_images: fig3
case_images: Figure 3 shows the chronology of patient events.