PMC7553599_01
Comparison of cross-sectional chest CT images at different time points. Before admission (Day -2), a large pleural effusion (black arrow) was seen in the right lung on two cross sections (A1 and A2); When the patient's condition worsened (Day 10), new pleural effusion (black arrow) in the left lung and diffuse patchy shadow (white arrow) in both lungs were shown in two cross sections (B1 and B2); Before discharge (Day 15), two cross-sections of chest CT (C1 and C2) showed absorption of left pleural effusion, reduction of right pleural effusion (black arrow), and reduction of diffuse patchy shadow in both lungs (white arrow).
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The results of chest computed tomography (CT) (Day -2) with our hospital showed (Figure1 A1 and A2): right interlobar fissure, reticular nodular, diffuse thickening; right pleural effusion with partial package, scattered inflammation in the middle and lower lobes of the right lung with local external pressure atelectasis, scattered alveoli in both lungs; diffuse small nodular high density shadow in both lungs; plain strip shadow in the lower lingual segment of the upper lobe of the left lung. Chest CT (Day 15) reexamination showed (Figure1 C1 and C2): absorption of left pleural effusion, reduction of right pleural effusion, improvement of bilateral pulmonary inflammation.
Taxonomic classification of sequencing readings read from pleural effusion. (A) Microbe sequences distribution in hydrothorax sample of right chest (B) Bacterium sequences distribution in hydrothorax sample of right chest on genus level (C) Microbe sequences distribution in hydrothorax sample of left chest (D) Bacterium sequences distribution in hydrothorax sample of left chest on genus level.
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The results of chest computed tomography (CT) (Day -2) with our hospital showed (Figure1 A1 and A2): right interlobar fissure, reticular nodular, diffuse thickening; right pleural effusion with partial package, scattered inflammation in the middle and lower lobes of the right lung with local external pressure atelectasis, scattered alveoli in both lungs; diffuse small nodular high density shadow in both lungs; plain strip shadow in the lower lingual segment of the upper lobe of the left lung. A total of 39,575,303 reads were obtained from right pleural fluid samples, and 68 Mycobacterium tuberculosis complexes were detected (Figure 2A and B). A total of 38,603,770 reads were generated from left pleural fluid samples, and 1 read of Mycobacterium tuberculosis complex were detected (Figure 2C and D), covering 0.0010% (43/4,370,115) of the references genome. Chest CT (Day 15) reexamination showed (Figure1 C1 and C2): absorption of left pleural effusion, reduction of right pleural effusion, improvement of bilateral pulmonary inflammation.