PMC8958450_01
A - Initial Chest X-ray, PA view, Ill-defined right apical soft tissue density with relative volume loss of right hemithorax; B, C, and D - Follow-up Chest CT scan, sagittal view, multiple poorly marginated nodules throughout the lungs ranging in size up to 1.5 cm in the left upper lobe and partial clearance of prior right upper lobe pneumonia (B coronal plane - mediastinum window, C - axial plane lung window, D coronal plane lung window).
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He had been admitted to the hospital one-month prior with a right upper lobe pneumonia evidenced by a right upper lobe consolidation on chest x-ray (Figure 1A), which was confirmed by chest computed tomography (CT). A follow up chest CT four weeks later showed partial clearance of the right upper lobe consolidation in addition to extensive involvement of all lobes of the lungs by new poorly marginated nodules in the peripheral and central portions of the lungs, measuring up to 1.5 cm in greatest dimension with suggestions of central cavitation (Figure 1B and 1C).
Subsequent Chest X-ray, AP view, Significant increase in nodular airspace opacities bilaterally with associated small bilateral pleural effusions and persistent consolidation in the right upper lobe.
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