PMC5449744_01
CT of the chest revealing a large right middle lobe cavitary mass (6.5*7.6*8.1 cm3) with bilateral pulmonary nodules and a small pericardial effusion.
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CT of the chest was done which showed a large right middle lobe cavitary mass (6.5*7.6*8.1 cm3) with bilateral pulmonary nodules and a small pericardial effusion (Figure 1).
Chest X-ray showing a pneumopericardium, most probably due to the direct extension of the fungal infection (day 15).
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On hospital day 15, chest X-ray revealed air in the pericardial sac, that is, pneumopericardium, consistent with a direct extension of the known cavitary fungal pneumonia in the chest through the mediastinum into the pericardium (Figure 2).
Chest X-ray showing a new patchy right lower lobe opacity consistent with pneumonia and persistent pneumopericardium (day 17).
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Two days later a repeat chest X-ray suggested a new patchy right lower lobe opacity consistent with pneumonia and persistent pneumopericardium (Figure 3).