case_images: PMC10439794_01
case_images: PET/CT imaging on pulmonary cavity lesions and thoracic wall abscess. (A and B) CT imaging on multiple lung cavity lesions in the upper lobes. (C and D) PET scan revealed that the lung lesions, chest wall and thoracic vertebrae had higher levels of glucose metabolism (Green arrows).
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case_images: T3-T4 thoracic vertebral destruction (Figures 1 and 2).
case_images: Thoracic vertebrae MRI, (A) sagittal plane and (B) coronal plane, indicate hyperintense signals in T3-T4 vertebral bodies and paravertebral tissue (Yellow arrows).
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case_images: T3-T4 thoracic vertebral destruction (Figures 1 and 2).
case_images: Chest CT on pulmonary lesions and thoracic wall abscess before and after treatment. (A and D) Chest CT scan prior to admission. (B and E) Chest CT scan on discharge. (C and F) Chest CT scan at 3-month follow up. The red arrow indicated the change of the pulmonary cavities. The yellow arrow indicated the change of the thoracic wall abscess.
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case_images: PMC10439794_01_IDR-16-5329-g0003.jpg
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case_images: Afterwards, his fever allayed, the thoracic swelling and pain alleviated, and the lung cavity lesions were shrunk following the treatment with piperacillin-tazobactam (4.5g q8h) and levofloxacin (0.5g qd), as well as drainage of thoracic wall intermuscular abscess (Figure 3B and E), compared with those of pre-therapy (Figure 3A and D). Three months post-discharge, this patient was clinically stable, the chest CT showed the lung cavity lesions were mostly resolution, as well as the thoracic wall intermuscular abscess was significantly decreased (Figure 3C and F), whereas this patient refused thoracic spinal surgery for his own concern of surgical risk and financial reason.