PMC5682062_01
Contrast-enhanced computed tomography of the chest showing a cavitary mass with associated ground glass opacities and pneumonia.
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fig1
Computed tomography of the chest performed in the first 24 hours of admission revealed multiple bilateral pulmonary emboli and a large right upper lobe cavitary mass with adjacent ground glass opacities and septal thickening, as well as moderate bilateral axillary, mediastinal, and upper abdominal adenopathy (Figure 1).
Gallium scan performed two months following completion of IV antibiotics showing intense radiotracer uptake in the right hilum corresponding with a known area of lymphadenopathy suggestive of an active process. No other areas of known lymphadenopathy show increased gallium uptake.
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fig2
GAMUNEX -C (immune globulin injection [human], 10% caprylate/chromatography purified), but fevers persisted. Gallium scan was performed to evaluate for residual infection, which revealed strong radiotracer uptake in the right hilum with corresponding 6.3 x 4.2 cm lymphadenopathy seen on CT chest obtained at the same time (Figure 2), as well as mild uptake in the right upper lobe of the lung.