case_images: PMC8675614_01
case_images: Admission chest x-ray shows bilateral infiltrates and chronic emphysematous changes.
case_images: toj-20-0163-figure1.jpg
case_images: PMC8675614_01_toj-20-0163-figure1.jpg
case_images: f1
case_images: Chest x-ray showed extensive bilateral pulmonary infiltrates (Figure 1).
case_images: Admission chest computed tomography, transverse view of upper lobes, shows dominant right upper lobe intracavitary lesion. The central component is 2.1 x 2.3 cm (previously 2.0 x 2.3 cm). The mural nodule within this cavitation is 2.1 x 1.2 cm (previously 1.5 x 1.0 cm) and thin walled. Imaging shows progression of right upper lobe bullous emphysema and cystic bronchiectatic changes.
case_images: toj-20-0163-figure2.jpg
case_images: PMC8675614_01_toj-20-0163-figure2.jpg
case_images: f2
case_images: Chest computed tomography (CT) revealed growth of a previous right upper lobe intracavitary lesion (2.1 x 2.3 cm, previously 2.0 x 2.3 cm) and new onset diffuse interstitial pulmonary ground-glass airspace opacities (Figures 2, 3, and 4).
case_images: Admission chest computed tomography, transverse view of lower lobes, shows new onset diffuse interstitial pulmonary ground-glass airspace opacities.
case_images: toj-20-0163-figure3.jpg
case_images: PMC8675614_01_toj-20-0163-figure3.jpg
case_images: f3
case_images: Chest computed tomography (CT) revealed growth of a previous right upper lobe intracavitary lesion (2.1 x 2.3 cm, previously 2.0 x 2.3 cm) and new onset diffuse interstitial pulmonary ground-glass airspace opacities (Figures 2, 3, and 4).
case_images: Admission chest computed tomography, coronal view, shows increased mediastinal lymphadenopathy, likely reactive.
case_images: toj-20-0163-figure4.jpg
case_images: PMC8675614_01_toj-20-0163-figure4.jpg
case_images: f4
case_images: Chest computed tomography (CT) revealed growth of a previous right upper lobe intracavitary lesion (2.1 x 2.3 cm, previously 2.0 x 2.3 cm) and new onset diffuse interstitial pulmonary ground-glass airspace opacities (Figures 2, 3, and 4).
case_images: Follow-up chest computed tomography after 5 weeks, transverse view of upper lobes, shows the mural nodule in the right upper lobe intracavitary lesion at 3.1 cm and partially calcified.
case_images: toj-20-0163-figure5.jpg
case_images: PMC8675614_01_toj-20-0163-figure5.jpg
case_images: f5
case_images: A 5-week follow-up chest CT showed resolution of the bibasilar opacities, and the right upper lobe intracavitary lesion was stable (Figures 5, 6, and 7).
case_images: Follow-up chest computed tomography after 5 weeks, transverse view of lower lobes, shows near complete clearing of bibasilar opacities. Bilateral partially calcified nodules and amorphous/nodular opacities (more on the right than on the left) are visible, as well as bilateral bronchiectasis (also more on the right than on the left).
case_images: toj-20-0163-figure6.jpg
case_images: PMC8675614_01_toj-20-0163-figure6.jpg
case_images: f6
case_images: A 5-week follow-up chest CT showed resolution of the bibasilar opacities, and the right upper lobe intracavitary lesion was stable (Figures 5, 6, and 7).
case_images: Follow-up chest computed tomography after 5 weeks, coronal view, shows stable borderline mediastinal lymphadenopathy.
case_images: toj-20-0163-figure7.jpg
case_images: PMC8675614_01_toj-20-0163-figure7.jpg
case_images: f7
case_images: A 5-week follow-up chest CT showed resolution of the bibasilar opacities, and the right upper lobe intracavitary lesion was stable (Figures 5, 6, and 7).