case_images: PMC10833058_01
case_images: Chest computed tomography performed on the day of admission.. Axial unenhanced computed tomography images in the lung window at the apex (A), mid-lung (B), and base (C) demonstrate areas of consolidation in the left upper and lower lobes, with air bronchogram and surrounding ground glass opacities. Axial unenhanced computed tomography image in a mediastinal window at the base (D) shows a small left pleural effusion (arrowhead).
case_images: cureus-0016-00000051527-i01.jpg
case_images: PMC10833058_01_cureus-0016-00000051527-i01.jpg
case_images: FIG1
case_images: Therefore, she was referred for a thoracic CT scan, which showed a parenchymal consolidation in the upper lobe of the left lung extending to the lingula, accompanied by an air bronchogram (Figure 1).
case_images: Chest computed tomography performed 11 days after hospitalization.. Axial enhanced computed tomography images in a mediastinal window at the apex (A) and mid-lung (B) demonstrate heterogeneously enhancing left lung consolidation (asterisks), suggestive of pulmonary necrosis, with air foci (arrows) reflecting abscess formation. Axial enhanced computed tomography images in the lung window at the apex (C) and mid-lung (D) reveal increased left lung consolidation and air foci (arrows), in addition to right lung infiltrates. Sagittal reformatted images in mediastinal (E) and lung (F) windows depict the same findings.
case_images: cureus-0016-00000051527-i02.jpg
case_images: PMC10833058_01_cureus-0016-00000051527-i02.jpg
case_images: FIG2
case_images: There was also pleural effusion in the internal segment of the left basal pyramid, resulting in passive atelectasis of the adjacent parenchyma (Figure 2).
case_images: Chest computed tomography performed 17 days after hospitalization. Axial enhanced computed tomography images at the apex (A) and mid-lung (B) continue to demonstrate heterogeneously enhancing left lung consolidation (asterisks) and increasing abscesses (arrows). Axial enhanced computed tomography images in lung windows at the apex (C) and mid-lung (D) and sagittal reformatted images in mediastinal (E) and lung (F) windows depict the same findings.
case_images: cureus-0016-00000051527-i03.jpg
case_images: PMC10833058_01_cureus-0016-00000051527-i03.jpg
case_images: FIG3
case_images: There was a rising trend in inflammatory parameters despite targeted antibiotic therapy, and the condition deteriorated further radiologically as lung abscesses increased in size based on a chest CT performed 17 days after admission (Figure 3).