Chest CT on Day of Antiviral Initiation CT Chest taken on day nine of antibiotics and the day of antiviral initiation. Bilateral upper and lower lobe consolidations compatible with multifocal pneumonia (white arrow). Moderate-sized pleural effusions and moderate-sized pericardial effusion is also noted (blue arrows). There is a spiculated nodule in the right middle lobe, concerning for neoplasm (green arrow). 