PMC6914985_01
Chest X-ray showing a new right upper lobe nodule (red arrow).
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fig1
In the Emergency Department, his laboratory exams showed a white blood cell count of 18 x 103/muL with monocyte predominance, and a chest X-ray revealed a new 2 cm right upper lobe infiltrate with nodular characteristics (Figure 1).
Chest CT scan revealing a new thick-walled cavitary nodule in the right upper lobe (red arrow).
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fig2
Given the abnormal X-ray findings and the suspicion for immunosuppression based on the presence of esophageal candidiasis, the patient was immediately placed on airborne precautions and a chest computed tomography (CT) scan was ordered, which revealed a new thick-walled right upper lobe cavitary nodule measuring 19 x 14 mm (Figure 2).