PMC5054941_01
Chest roentgenogram demonstrating an ill-defined right upper lung field consolidation.
ccrep-9-2016-087f1.jpg
PMC5054941_01_ccrep-9-2016-087f1.jpg
f1-ccrep-9-2016-087
He was diagnosed with right upper lobe community-acquired pneumonia (based on chest X-ray) and treated for seven days with azithromycin (Fig. 1).
Chest computed tomography with a dense consolidative infiltrate in the right upper lobe with smaller patchy infiltrates in the left upper lobe.
ccrep-9-2016-087f2.jpg
PMC5054941_01_ccrep-9-2016-087f2.jpg
f2-ccrep-9-2016-087
An ultrasound of his left lower extremity revealed a deep venous thrombosis, and chest CT angiogram revealed multiple pulmonary emboli with a dense consolidative infiltrate in the right upper lobe with smaller patchy infiltrates in the left upper lobe and bilateral lung bases (Fig. 2).
Area of endobronchial erythema, mucosal changes and possible ulceration in the the right upper lobe bronchus as demonstrated on bronchoscopy.
ccrep-9-2016-087f3.jpg
PMC5054941_01_ccrep-9-2016-087f3.jpg
f3-ccrep-9-2016-087
Repeat bronchoscopy for evaluation of ongoing infection revealed patchy, thickened, erythematous, endobronchial lesions involving the right upper lobe without gross endobronchial obstruction (Fig. 3).