PMC6456450_01
Representative axial image from CT chest obtained on presentation showing bilateral consolidations bilaterally, significantly worse on the left, and a small left pleural effusion.
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CT angiogram of the chest showed no pulmonary embolism, but revealed confluent regions of consolidation in the lungs bilaterally - significantly worse on the left - and a small left pleural effusion on a background of known bilateral cavitary lung lesions (Fig. 1).
Representative axial image from CT chest obtained after three days of IVIg therapy showing marked improvement in severe interstitial abnormality.
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Repeat chest CT imaging on day 12 demonstrated a marked improvement in the severe interstitial abnormality felt to represent an organizing phase of acute lung injury, consistent with a clinical response to immunomodulatory therapy (Fig. 2).
Representative axial image from CT chest performed six weeks after admission showing near resolution of infiltrates with residual bilateral subpleural interstitial fibrosis.
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Re-staging CT of the torso performed six weeks after her admission to reassess malignant tumor burden demonstrated continued improvement of the predominantly left-sided infiltrate, but a remaining bilateral subpleural interstitial fibrotic abnormality; the malignant disease burden was noted to be stable (Fig. 3).