case_images: PMC10641707_01
case_images: (A) Signs in Chinese for anaerobic tanks. (B,C) Exterior view of sludge treatment tank. (D) Interior view of sludge treatment tank.
case_images: fpubh-11-1226282-g001.jpg
case_images: PMC10641707_01_fpubh-11-1226282-g001.jpg
case_images: fig1
case_images: His job was to flush the sludge from the inner wall of the sludge treatment tank (Figure 1, anaerobic tank, 4 m high, 3 m diameter) with a water gun, and the sludge could release hydrogen sulfide gas.
case_images: The patient underwent Brain MRI on 2023/3/6 (A,B) and 2023/3/26 (C,D). (A) There were abnormal signals in the left basal ganglia, considering softening foci. (B) There were a few abnormal signals in the left frontal lobe, considering non-specific signals or degenerative lesions around the perivascular space. (C) There were still abnormal signals in the left basal ganglia, considering softening foci, but the extent of the lesion was reduced compared with (A). (D) There were still a few abnormal signals in the left frontal lobe, considering non-specific signals or degenerative lesions around the perivascular space, but the extent of the lesion was reduced compared with (B).
case_images: fpubh-11-1226282-g002.jpg
case_images: PMC10641707_01_fpubh-11-1226282-g002.jpg
case_images: fig2
case_images: T2 signal shadows were seen in the left basal ganglia, and T2 FLAIR showed medium-low peripheral hyperintensity with clear boundaries. The left frontal lobe showed a speckle-like long TI and long T2 signal shadow, T2 FLAIR hyperintensity, and DWI isointensity. The examination concluded that abnormal signals in the left basal ganglia, considering softening foci (Figure 2A); There were a few abnormal signals in the left frontal lobe, considering non-specific signals or degenerative lesions around the perivascular space (Figure 2B). And the subsequent reexamination on 2023/3/26 revealed a slight reduction in the extent of the lesion (Figures 2C,D).
case_images: The patient underwent Chest CT on 2023/3/6 (A,B) and 2023/3/26 (C,D). (A) There was a little exudation in the lower lobe of the right lung, with localized interstitial changes. (B) There was localized thickening of the right pleura. (C) There was still exudation in the lower lobe of the right lung, but the extent of the lesion was reduced compared with (A). (D) There was still localized thickening of the right pleura, but the extent of the lesion was reduced compared with (B).
case_images: fpubh-11-1226282-g003.jpg
case_images: PMC10641707_01_fpubh-11-1226282-g003.jpg
case_images: fig3
case_images: His job was to flush the sludge from the inner wall of the sludge treatment tank (Figure 1, anaerobic tank, 4 m high, 3 m diameter) with a water gun, and the sludge could release hydrogen sulfide gas. On CT on 2023/3/6, as shown in Figure 3, there was a little exudation in the lower lobe of the right lung, with localized interstitial changes (Figure 3A), which were relieved on the second examination on 2023/3/26 (Figure 3C). There was localized thickening of the right pleura (Figure 3B), which were also relieved on the second examination (Figure 3D).