PMC5738639_01
(a) Cross section chest CT scan, (b) Coronal section chest CT scan.. Chest CT scan: revealed multifocal cavity lesions, most prominent in the apices, consolidative volume loss greatest in upper zones, right greater than left.
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Chest X ray showed irregular opacification of upper lung zones more on the right side, associated with some pleural thickening which was further detailed by the chest CT scan (Figure 1(a,b)) as consolidative volume loss in bilateral upper zones more pronounced on the right lung and bilateral apical cavitary lesions.
(a) Cross section chest CT scan, (b) Coronal section chest CT scan.. Chest CT scan: revealed progressive airspace opacities and traction bronchiectasis in the right base with small right pleural effusion on the background of severe thick-walled cystic changes in the apices.
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In January 2017, a follow up chest CT scan (Figure 2(a,b)) revealed interval worsening of cavitary lung disease with progressive air space opacities and traction bronchiectasis on the background of severe thick walled cystic changes in the apices.
(a) Cross section chest CT scan, (b) Coronal section chest CT scan.. Chest CT scan: revealed enlarged thick -walled cavities in the bilateral apices, worsening the cavitary lung disease.
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In May 2017, the patient was re-admitted to our facility due to sepsis secondary to pneumonia and worsening cavitary lesions seen on the chest X Ray and chest CT scan (Figure 3(a,b)).