case_images: PMC10501056_01
case_images: Computed tomography chest. Day 1 of admission. Of note, in the right lower lobe, there is an approximately 6-cm thick-walled, cavitating lesion with additional subcentimeter micronodules in the right lower lobe.
case_images: 10.1177_23247096231197863-fig1.jpg
case_images: PMC10501056_01_10.1177_23247096231197863-fig1.jpg
case_images: fig1-23247096231197863
case_images: Computed tomography chest from day 1 of admission (Figure 1) revealed an approximately 6-cm cavitary thick-walled lesion in the right lower lobe with numerous additional pericentimeter and subcentimeter micronodules elsewhere throughout the right lower lobe. In addition, there was mild patchy ground glass opacifications in the right upper lobe, new from prior CT chest on day 1 of admission (Figure 1) with an increasing small right pleural effusion.
case_images: Ultrasound. Day 1 of admission. There is a right-sided pleural effusion without loculations, not of adequate size/volume for thoracentesis.
case_images: 10.1177_23247096231197863-fig2.jpg
case_images: PMC10501056_01_10.1177_23247096231197863-fig2.jpg
case_images: fig2-23247096231197863
case_images: He also had a small right pleural effusion; therefore, bedside ultrasound from day 1 of admission (Figure 2) was done which showed only minimal pleural effusion and there was no indication for thoracentesis.
case_images: CT chest axial (A) and sagittal (B) views. Day 5 of admission. There is significant progression in the multifocal right lower lobe pneumonia adjacent to an otherwise stable-appearing right lower lobe thick-walled cavitating lesion. There are also subtle mild patchy ground glass opacities in the right upper lobe, not seen on prior CT chest on day 1 of admission. There is also a small right pleural effusion.. Abbreviation: CT, computed tomography.
case_images: 10.1177_23247096231197863-fig3.jpg
case_images: PMC10501056_01_10.1177_23247096231197863-fig3.jpg
case_images: fig3-23247096231197863
case_images: A repeat CT chest scan (Figure 3) on day 5 of admission showed interval significant progression in multifocal right lower lobe pneumonia adjacent to stable-appearing right lower lobe thick-walled cavitary lesion.