PMC7193124_01
Imaging study from an alcoholic patient with lung abscess between on admission and after discharge.. Panel 1A shows the result of chest radiograph when admission on 31 August, 2018, a cavitary lesion in the left lower lung field.. Panel 1B shows the result of chest radiograph on 6 September, 2018, a cavitary lesion with peripheral infiltration at left lower lung field.. Panel 1C shows the result of chest radiograph on 13 September, 2018, both of the cavitary lesion and peripheral infiltration at left lower lung field were improved.. Panel 1D shows the result of chest radiograph after 21 days of treatment with inhaled colimycin and intravenous levofloxacin when discharge on 29 September, 2018, a residual lesion noted in the left lower lung field.. Panel 1E shows the result of chest high-resolution computed tomography when admission on 31 August, 2018, a cavitary lesion involved both left upper and lower lobes of lung.. Panel 1F shows the result of chest high-resolution computed tomography after discharge on 19 October, 2018, cavitary lesion dramatically improved.
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A chest radiograph showed a cavitary lesion in the left lower lung area (Fig. 1A). Chest high-resolution computed tomography revealed a cavitary mass with air-fluid level over the left upper and lower lobes (Fig. 1E); therefore, lung abscess was diagnosed. Besides, chest radiograph on 6 September 2018 showed persistent cavitary lesion with newly developed peripheral infiltration at left lower lung field (Fig. 1B). The patient's chest radiograph on 13 September 2018 showed both the cavitary lesion and peripheral infiltration at left lower lung field had improved one week after change of antibiotics (Fig. 1C), and the lung lesions were almost completely resolved after four weeks of treatment (Fig. 1D and F).