PMC4681998_01
Chest radiograph showing areas of infiltrative shadows in the left upper lung field (a). Computed tomography scan of the chest showing the wall of the cavity thickening and appearance of infiltration around the cavity (b).
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He subsequently complained of productive cough and his chest X-ray showed infiltration in the left upper lung field 8 months after the initial treatment (Fig. 1a). The chest computed tomography findings showed wall thickening and infiltrative shadows around the cavity (Fig. 1b) and blood examination revealed slight elevation of white blood cell count (10,370/muL) and C-reactive protein (1.39 mg/dL).
Clinical course. The abbreviations used are: PSL; prednisolone, FK506; tacrolimus, VRCZ; voriconazole. Solid line indicates serum concentration of FK506. Dotted line indicates serum concentration of VRCZ.
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We had performed therapeutic drug monitoring (TDM) during follow-up (Fig. 2).
Chest radiograph showing improvement of infiltration around the cyst wall in the left upper lung field after treatment with voriconazole.
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The chest X-ray revealed improvement of infiltration around the cyst wall (Fig. 3).