PMC9929659_01
Radiologic findings of distinct lung pathology. (A) CT imaging revealing multiple cavitary lung lesions; (B) CT imaging revealing partial absence of the medial walls of both maxillary sinuses as well as moderate paranasal sinus disease; (C) plain chest radiograph with areas of consolidation with superimposed cavitation on the right with bilateral perihilar fullness. CT, computed tomography.
acr-07-22-29-f1.jpg
PMC9929659_01_acr-07-22-29-f1.jpg
f1
Figure 1A. Upon further history, 6 months ago, she developed congestion and epistaxis presumed to be sinusitis after a 2-week camping trip in rural southwestern United Further CT imaging was significant for marked sinusitis with partial absence of the medial walls of both maxillary sinuses (Figure 1B) and plain chest radiography (CXR) (Figure 1C) was consistent with the initial CT for cavitary lesions.
Echocardiogram imaging detailing coronary artery dilation. (A) Right coronary artery 3.9 mm Z score: 2.10; (B) right coronary artery is diffusely dilated per cardiology review.
acr-07-22-29-f2.jpg
PMC9929659_01_acr-07-22-29-f2.jpg
f2
Troponin T and brain natriuretic peptide (BNP) were both elevated prompting an echocardiogram which showed right coronary dilation Figure 2A,2B with noted right coronary dilation measuring 3.9 mm described as ectatic and diffusely dilated.