PMC7406454_01
A) chest X-ray on admission showing focal infiltrate in the right midlung zone involving the minor fissure with multiple areas of lucencies suggestive of abscess formation; B) computed tomography (CT) axial view demonstrating dense consolidation of the right middle lobe (RML) and abscess with air-fluid level; C) coronal CT with revealing RML necrotizing pneumonia as well as thick wall cavity in the right lower lobe (RLL); D) C) sagittal view with RML and RLL necrotizing pneumonia and abscess formation
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F1
The chest X-ray is shown in Figure 1. A computed tomography (CT) of the chest was performed and representative slices are shown in Figure 1.
A) day 1 post-admission chest X-rays showing the development of large fluid-filled cavities; B) day 2 post-admission chest X-rays showing the development of large fluid-filled cavities; C) reduction in the airspace in the right hemithorax (day 3)
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F2
Repeat chest X-rays on day one, two and three are shown in Figure 2.
A) coronal chest CT on day 3 showing a significant increase in the size of the abscess cavity and dense consolidation in RLL; B) sagittal chest CT on day 3 showing a significant increase in the size of the abscess cavity and dense consolidation in RLL
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F3
A repeat CT scan was obtained on day three to identify the structural lung damage better (Figure 3).
bedside ultrasound showing complex pleural effusion with cellularity (brown arrow), septations (yellow arrow) and atelectatic lung (black arrow). The diaphragm (indigo arrow), liver (red arrow), chest wall (lime arrow) are also visible
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F4
An ultrasound revealed complex pleural effusion (Figure 4).
chest X-ray after drainage with a chest tube demonstrated significant improvement in lung aeration with residual pleural and basilar lung changes
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F5
The BPF resolved, and the chest tube was successfully removed (Figure 5).