PMC8462861_01
Chest radiographs of CMV pneumonia. (a) Initial chest radiograph with extensive right lung opacities, most prominent in the right middle lobe. (b) Chest radiograph on day 8 with an increase in right-sided infiltrates and new infiltrates at the left lung base. (c) Chest radiograph on day 22 with reduced infiltrates in the right lung field with a moderate overlying pleural effusion
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On day 1, a chest radiograph (Figure 1(a)) revealed extensive right lung opacities, most prominent in the right middle lobe. Chest radiography on day 8 (Figure 1(b)) revealed an increase in the right-sided infiltrates and new patchy infiltrates at the left lung base. A chest radiograph on day 22 (Figure 1(c)) showed reduced infiltrates in the right lung field, with a moderate overlying pleural effusion.
CT scan of chest (axial view). (a) Lung window showing severe cavitary and partially necrotic opacities in the right upper lobe. (b) Soft-tissue window showing small, simple right pleural effusion and a moderate pericardial effusion without evidence of tamponade
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A chest CT scan with intravenous contrast (Figure 2) revealed severe cavitary and partially necrotic opacities in the right upper lobe.
Transthoracic echocardiogram revealing a large pericardial effusion in the left parasternal long-axis (a) and short-axis (b) view
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An echocardiogram (Figure 3) revealed a large pericardial effusion, as large as 4.16 cm, with no signs of tamponade.