PMC6384316_01
CT chest on admission showing scatter bilateral groundglass opacities.
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She was planned for initiation of R-CHOP but presented with a new cough, dyspnea, fevers and bilateral ground glass opacities on chest CT (Fig. 1).
CT chest after two weeks of Bactrim therapy showing progression of bilateral consolidations with airbronchograms compatible with extensive multifocal pneumonia.
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Despite two weeks of appropriate therapy with clinical improvement permitting Prednisone to be tapered to 40 mg daily, she had recurrence of fevers, worsening hypoxemia and progression of bilateral patchy opacities on chest radiograph (Fig. 2).
CT chest after 6 weeks of PCP treatment showing decreased bilateral groundglass opacities and dense consolidations.
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Her bilateral opacities improved (Fig. 3) and she was discharged home on secondary oral prophylaxis and a steroid taper.