PMC10196950_01
CT chest revealed a 3 cm ovoid focus within a bulla of the left lower lobe. This mass may represent a mycetoma.
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A CT of the chest was significant for bullous emphysema and a 3-cm ovoid focus within a bulla in the left lower lobe that was thought to represent a mycetoma (Fig. 1).
CT Chest significant for 12.6 cm mass in left lower lobe likely sequelae of recent microwave ablation vs developing infectious process.
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The chest CT displayed a large consolidation/mass involving most of the left lower lobe with multiple locules of air measuring 12.6 cm. (Fig. 2).
PMC10196950_02
1.4 x 1 cm LUL nodule. PET/CT recommended for further workup.
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Over the next 12 months, there was increased nodular density and size with the nodule measuring 1.4 cm (Fig. 3).
Moderate LUL ablation zone pneumothorax s/p microwave ablation.
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There was no mediastinal shift and no diaphragmatic depression, but a large amount of soft tissue emphysema developed (Fig. 4).
Streak density in the superior lingula consistent with some parenchymal scarring. Lungs are otherwise clear.
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A follow-up chest CT three months later demonstrated an area of linear increased density consistent with scarring in the superior lingula (Fig. 5), with clearing of nodule.