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Chest X-rays: Image (A) on day of admission showing hazy bilateral airspace opacities with diffuse consolidation of the left lung associated with a left pleural effusion, image (B) on Day 6 of antimicrobial therapy showing hazy confluent opacity in the left hemithorax represents necrotizing pneumonia with lung abscesses and normal right lung, image (C) on Day 19 of therapy showing continued resolution of the left upper lobe pneumonia and decreased size of the abscess cavity, image (D) on Day 30 of treatment and upon discharge showed clear lungs with mild left basilar residual pleural thickening.
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Fig. 1.
PMC7569210_04
Chest CT scan on the third day of therapy demonstrates air space consolidation of the left lower lobe, small loculated left pleural effusion, and a 2 large peripherally enhancing fluid collections present in the left lower lobe with gas consistent with abscesses. The more superior and anterior abscess measures approximately 1.6 x 4.7 x 5.6 cm. The inferior and posterior abscess measures approximately 2 x 3 x 4.2 cm. Small loculated left pleural effusion was present. No pneumothorax was seen. Both components intraparenchymal and pleural empyema.
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Fig. 2.
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