case_images: PMC11371678_01
case_images: A well-defined cavity in the right upper lung measuring 4.5 cm and patchy consolidation in the left upper and middle lobes in November 2021 (A). Over time, the cavity reduced in size to 3.5 cm then to 3.2 cm with regression of the infiltrates in the left upper lobe in December 2022 (B).
case_images: fmed-11-1399381-g001.jpg
case_images: PMC11371678_01_fmed-11-1399381-g001.jpg
case_images: fig1
case_images: In addition, a chest x-ray was done, revealing a pulmonary cavity as shown in Figure 1.
case_images: CT shows an increase in the size of right upper lung cavity, from 3.2 cm on 31st August 2022 (A), to 4.5 cm on 16th January 2023 (B). In the CT image, A stands for Anterior, and P stands for Posterior.
case_images: fmed-11-1399381-g002.jpg
case_images: PMC11371678_01_fmed-11-1399381-g002.jpg
case_images: fig2
case_images: Table 1. Additionally, a chest computed tomography (CT) scan was ordered to accurately evaluate the progression of her disease. The scan revealed a pulmonary cavity in the right lung (Figure 2A) and a "tree-in-bud" pattern, indicating the presence of mucus and pus causing the normally invisible peripheral airway to become visible (Figure 3A). 1 month later, a bronchoscopy with biopsy was performed to potentially identify other granulomatous diseases that resemble tuberculosis, given the patient's recent relapse. Despite controversial radiologic findings with worsening pulmonary cavity seen in Figure 2B and regressing "tree-in-bud" pattern seen in Figure 3B, the patient appeared reluctant to undergo the latter procedure.
case_images: In August 2022, CT shows bronchiectasis with micronodular infiltrates with a "tree-in-bud" pattern in the right lower lobe and left lingula (A), that have regressed over time in January 2023 (B).
case_images: fmed-11-1399381-g003.jpg
case_images: PMC11371678_01_fmed-11-1399381-g003.jpg
case_images: fig3
case_images: Table 1. Additionally, a chest computed tomography (CT) scan was ordered to accurately evaluate the progression of her disease. The scan revealed a pulmonary cavity in the right lung (Figure 2A) and a "tree-in-bud" pattern, indicating the presence of mucus and pus causing the normally invisible peripheral airway to become visible (Figure 3A). 1 month later, a bronchoscopy with biopsy was performed to potentially identify other granulomatous diseases that resemble tuberculosis, given the patient's recent relapse. Despite controversial radiologic findings with worsening pulmonary cavity seen in Figure 2B and regressing "tree-in-bud" pattern seen in Figure 3B, the patient appeared reluctant to undergo the latter procedure.