case_images: PMC10589042_01
case_images: Initial CXR 3 months prior to presentation showed right upper lung opacities consistent with pneumonia.
case_images: jchim-13-05-101f1.jpg
case_images: PMC10589042_01_jchim-13-05-101f1.jpg
case_images: f1-jchim-13-05-101
case_images: He has a history of right upper lobe community-acquired pneumonia which required 3 days of hospitalization and 7 days of antibiotic 3 months ago, initial chest x-ray (CXR) was shown in Fig. 1.
case_images: CXR at this presentation showed migratory right upper and middle lung opacities in a peripheral distribution.
case_images: jchim-13-05-101f2.jpg
case_images: PMC10589042_01_jchim-13-05-101f2.jpg
case_images: f2-jchim-13-05-101
case_images: CXR showed migratory right upper and middle lung opacities in peripheral distribution (Fig. 2). Computed tomography (CT) chest demonstrated peripheral right upper lobe opacities with a focal 5 x 3.2 cm area of opacities, right hilar lymphadenopathy, emphysematous changes, and a few scattered pulmonary nodules (Fig. 3).
case_images: CT chest demonstrated peripheral right upper lobe opacities with a focal 5 x 3.2 cm area of opacities (yellow arrow), right hilar lymphadenopathy (blue arrow), emphysematous changes, and a few scattered pulmonary nodules.
case_images: jchim-13-05-101f3.jpg
case_images: PMC10589042_01_jchim-13-05-101f3.jpg
case_images: f3-jchim-13-05-101
case_images: CXR showed migratory right upper and middle lung opacities in peripheral distribution (Fig. 2). Computed tomography (CT) chest demonstrated peripheral right upper lobe opacities with a focal 5 x 3.2 cm area of opacities, right hilar lymphadenopathy, emphysematous changes, and a few scattered pulmonary nodules (Fig. 3).