PMC6307043_01
Admission Plain radiograph with small pleural effusion.
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Chest x-ray showed new right sided effusion with infiltrate versus consolidation (Fig. 1).
CT mediastinal view of the chest with lymphadenopathy.
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Patient also had right hilar small lymphadenopathy on imaging and minimal pericardial effusion (Fig. 2, Fig. 3, Fig. 4).
Right lower lobe infiltrate.
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Patient also had right hilar small lymphadenopathy on imaging and minimal pericardial effusion (Fig. 2, Fig. 3, Fig. 4).
Worsening pleural effusion (a and b).
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Plain chest radiograph showed recurrence of pleural effusion in the right side (Fig. 5a). Repeat Chest CT showed worsening right pleural effusion along with progressive consolidative changes in the right lower lobe (Fig. 5, Fig. 6, Fig. 7).
Worsening right lower lobe infiltrate.
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Repeat Chest CT showed worsening right pleural effusion along with progressive consolidative changes in the right lower lobe (Fig. 5, Fig. 6, Fig. 7).
Dramatic improvement of right-side pleural effusion at hospital (a) and then at the clinic (b).
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Before being discharged the pleural effusion as resolved (Fig. 8). Repeat chest scan for follow up on the hilar lymphadenopathy showed near normalization of the size of the lymph nodes and trace residual right pleural effusion (Fig. 8a and b).
CT scan showed regression of lymphadenopathy and near complete resolution of pleural effusion.
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At that time the patient was still on steroid taper and was asymptomatic (see Fig. 9).
Plain radiograph with recurrent moderate pleural effusion.
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Yet few days later the patient developed pleuritic type chest pain and chest x ray showed re-accumulation of his pleural effusion at the emergency department (Fig. 10).
Plain radiograph with decreasing right pleural effusion.
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And patient returned to the pulmonary clinic one week later, and a repeat CXR showed decreased pleural effusion responding to steroid (Fig. 11).
Pet scan results with disease limited to pleura on the right side.
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