PMC5423322_01
A chest radiogram (posterior-anteroir view) at admission showed air-fluid level (arrow) in the left lower area.
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A chest radiogram (posterior-anterior view; Fig. 1) showed air-fluid level in the left lower area that appeared to be freely mobile in the lateral decubitus view (Fig. 2), suggestive of an infected cyst due to a congenital anatomical malformation.
Computed tomography scan at convalescent phase showed multiple cystic lesions in the left lower lobe.
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After a 6-week antimicrobial course (ampicillin-sulbactam in first 3 weeks, followed by cefotaxime and clindamycin because he developed a fever and rash), a chest computed tomography scan (Fig. 3) showed multiple cystic lesions in the left lower lobe.
Resected left lower lobe with multiple cystic lesions.
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One month later, he underwent a left lower lobectomy (Fig. 4), and a pathological diagnosis of congenital pulmonary airway malformation was made.