case_images: PMC5449744_01
case_images: CT of the chest revealing a large right middle lobe cavitary mass (6.5*7.6*8.1 cm3) with bilateral pulmonary nodules and a small pericardial effusion.
case_images: CRIID2017-1424618.001.jpg
case_images: PMC5449744_01_CRIID2017-1424618.001.jpg
case_images: fig1
case_images: CT of the chest was done which showed a large right middle lobe cavitary mass (6.5*7.6*8.1 cm3) with bilateral pulmonary nodules and a small pericardial effusion (Figure 1).
case_images: Chest X-ray showing a pneumopericardium, most probably due to the direct extension of the fungal infection (day 15).
case_images: CRIID2017-1424618.002.jpg
case_images: PMC5449744_01_CRIID2017-1424618.002.jpg
case_images: fig2
case_images: On hospital day 15, chest X-ray revealed air in the pericardial sac, that is, pneumopericardium, consistent with a direct extension of the known cavitary fungal pneumonia in the chest through the mediastinum into the pericardium (Figure 2).
case_images: Chest X-ray showing a new patchy right lower lobe opacity consistent with pneumonia and persistent pneumopericardium (day 17).
case_images: CRIID2017-1424618.003.jpg
case_images: PMC5449744_01_CRIID2017-1424618.003.jpg
case_images: fig3
case_images: Two days later a repeat chest X-ray suggested a new patchy right lower lobe opacity consistent with pneumonia and persistent pneumopericardium (Figure 3).