PMC9065430_01
Chest x -ray posteroanterior view 23-August-2021: left paracardiac opacity with ill-defined margin and this appearance of the internal gas.. Fig. 1b: Chest x -ray posteroanterior view 13-Sep-2021: Slight Progressive size of the previously noted left paracardiac opacity with ill-defined margin and this appearance of the internal gas
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Chest x-ray showed opacity in the left hilum and para-hilar area (Fig. 1a).
CT thorax lung window, 2b mediastinal window, 2c lung window coronal section 23-August-2021: A 2.2 x 2.5 cm subpleural cavitary nodule is seen in the anterior aspect of the left upper lobe/lingula, with an adjacent area of patchy ground glass opacity, minimal interlobular septal thickening, and tree-in-bud nodules.. Fig. 2b. Fig. 2c.. Fig. 2e. Fig. 2d CT thorax mediastinal window, 2e lung window 23-August-2021: Interval growth of the subpleural mass in the left upper lobe of the anterior segment with interval growth of the associated left perivascular lymph nodes compared with the previous CT scan of August. Size is unchanged from the previous CT of September.. Fig. 2f CT thorax mediastinal window 23-Sep-2021: At CT, a true incisional needle biopsy was taken from a subpleural round lesion in the left upper lobe. The procedure was performed under local anesthesia without complications.
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CT chest without contrast showed a soft tissue mass in the left upper lobe (lingual) with central necrosis (Fig. 2a, b). Subsequent chest radiograph revealed persistent opacity of the left upper lobe and CT thorax showed 2.2 x 2.5 cm subpleural cavitary nodules in the left upper lobe/lingula associated with an adjacent area of patchy languor, minimal interlobular septal thickening, and tree-in-bud nodules (Fig. 2c, d).