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case_images: Case 1: Comparison of imaging before and after treatment.
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case_images: Follow-up chest CT: minimal consolidation, exudation, and streaking in the basal segments of both lower lobes; multiple solid nodules in the remaining bilateral lungs, the largest measuring approximately 6x5 mm located in the anterior segment of the right upper lobe (Figure 1A). Repeat chest CT: Significant improvement in bilateral pneumonia compared to the previous study; multiple solid nodules in the remaining bilateral lungs, stable in size compared to the previous study; resolution of the small pericardial effusion compared to the previous study (Figure 1B).On June 13, 2024, the patient developed a fever with a temperature of 38 C.
case_images: PMC11742741_02
case_images: Case 2: Comparison of imaging before and after treatment.
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case_images: PMC11742741_02_IDR-18-285-g0002.jpg
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case_images: A chest CT scan performed at an outside hospital revealed scattered exudates in both lungs and interstitial fibrosis in the right lower lobe (Figure 2A).The patient underwent allogeneic renal transplantation two years prior due to uremia and had been maintained on a post-transplant immunosuppressive regimen of mycophenolate mofetil 0.5 g twice daily (9 AM and 9 PM), tacrolimus 1 mg twice daily (9 AM and 9 PM), and methylprednisolone 4 mg once daily after breakfast.  Multiple follow-up visits after discharge revealed no recurrence of respiratory symptoms, and chest CT scans showed continued resolution of the bilateral pulmonary lesions (Figure 2B).