PMC8665863_01
Comparison of cross-sectional chest CT images obtained from the patient at different time points. A1-4 October 5th, 2020: The day of admission; B1-4 Eighth day after admission on October 13th, 2020; C1-4 October 22nd, 2020 The day of discharge; D1-4 November 14th, 2020 20 days after discharge; E1-4 February 6th, 2021 Nearly 4 months after discharge.
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Results revealed inflammation of lower lobes in both lungs and inferior lingular segment of the left lung, and left pleural effusion (Figure 1A1-A4). October 14th showed that double-under pneumonia was roughly the same, but the amount of pleural effusion was higher than before (Figure 1B1-B4). C reactive protein, erythrocyte sedimentation rate and blood routine examination were reexamined on October 15th and the changes are not obvious. On October 19th, we communicated with the patient, he voluntarily signed a written informed consent form, and he was subjected to bronchoscopy and his alveolar lavage collected. Re-examination results from chest CT, performed on October 22nd prior to discharge, revealed that the pleural effusion in the left interlobular fissure tended to be wrapped, while the amount of effusion in the lower lobe of the left lung was slightly lower than before (Figure 1C1-C4). Chest CT results showed that inflammation was basically absorbed in the right lower lobe and there was a slight reduction in the amount of interlobular fissure and pleural effusion on the left (Figure 1D1-D4). Results indicated neither chest tightness nor discomfort, while CT-based re-examination of the chest showed that the inflammation in the lower lobe of the right lung was absorbed, and the inflammation on the left was basically absorbed (Figure 1E1-E4).
A flow chart describing the patient diagnosis process.
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Results revealed inflammation of lower lobes in both lungs and inferior lingular segment of the left lung, and left pleural effusion (Figure 1A1-A4). October 14th showed that double-under pneumonia was roughly the same, but the amount of pleural effusion was higher than before (Figure 1B1-B4). C reactive protein, erythrocyte sedimentation rate and blood routine examination were reexamined on October 15th and the changes are not obvious. On October 19th, we communicated with the patient, he voluntarily signed a written informed consent form, and he was subjected to bronchoscopy and his alveolar lavage collected. Re-examination results from chest CT, performed on October 22nd prior to discharge, revealed that the pleural effusion in the left interlobular fissure tended to be wrapped, while the amount of effusion in the lower lobe of the left lung was slightly lower than before (Figure 1C1-C4). Chest CT results showed that inflammation was basically absorbed in the right lower lobe and there was a slight reduction in the amount of interlobular fissure and pleural effusion on the left (Figure 1D1-D4). Results indicated neither chest tightness nor discomfort, while CT-based re-examination of the chest showed that the inflammation in the lower lobe of the right lung was absorbed, and the inflammation on the left was basically absorbed (Figure 1E1-E4).