case_images: PMC5682062_01
case_images: Contrast-enhanced computed tomography of the chest showing a cavitary mass with associated ground glass opacities and pneumonia.
case_images: CRIID2017-9091276.001.jpg
case_images: PMC5682062_01_CRIID2017-9091276.001.jpg
case_images: fig1
case_images: Computed tomography of the chest performed in the first 24 hours of admission revealed multiple bilateral pulmonary emboli and a large right upper lobe cavitary mass with adjacent ground glass opacities and septal thickening, as well as moderate bilateral axillary, mediastinal, and upper abdominal adenopathy (Figure 1).
case_images: Gallium scan performed two months following completion of IV antibiotics showing intense radiotracer uptake in the right hilum corresponding with a known area of lymphadenopathy suggestive of an active process. No other areas of known lymphadenopathy show increased gallium uptake.
case_images: CRIID2017-9091276.002.jpg
case_images: PMC5682062_01_CRIID2017-9091276.002.jpg
case_images: fig2
case_images: GAMUNEX -C (immune globulin injection [human], 10% caprylate/chromatography purified), but fevers persisted. Gallium scan was performed to evaluate for residual infection, which revealed strong radiotracer uptake in the right hilum with corresponding 6.3 x 4.2 cm lymphadenopathy seen on CT chest obtained at the same time (Figure 2), as well as mild uptake in the right upper lobe of the lung.