case_images: PMC5039211_01
case_images: (A) CXR and (B1-B3) CCTs with intravenous contrast material on the admission day exhibit left-sided pleural fluid with consolidation and atelectasis of the left lower lung field. (C) CXR and (D1-D3) CCTs on the third day of admission. They exhibit significant increase of the left-sided pleural effusion with compressive atelectasis of the left lung and development of extensive consolidations in the right lung, especially in the upper lung fields. Small air collections are present in the pleural fluid. The chest drainage tube can be seen on the left of the CXR. (E) CXR 20 days and (F1-F3) CCT 40 days after the patient discharge from the hospital. They show complete resolution of the lung consolidations, limited left pleural thickening, and minimal pleural fluid (1: upper lung fields, 2: middle lung fields, 3: lower lung fields). CXR, chest X-ray; CCT, chest computerized tomography.
case_images: fmed-03-00042-g001.jpg
case_images: PMC5039211_01_fmed-03-00042-g001.jpg
case_images: F1
case_images: CXR (Figure 1A) and CCT (Figure 1B) on the admission day showed left-sided pleural effusion with consolidation and atelectasis of the left lower lung field. The new CXR (Figure 1C) and CCT (Figure 1D) revealed a significant increase of the left-sided pleural effusion with compressive atelectasis of the left lung and development of extensive consolidations in the right lung, especially in the upper lung fields. The patient presented steady improvement with complete symptom resolution and clearance of the abnormal findings in the CCTs (Figures 1E,F).