PMC6527897_01
CT chest for cyst aspiration noting the amount of hyperdense material contained within the left apical cavity significantly decreased, with an air-fluid level now present. In addition, a new finding of moderate subcutaneous emphysema in the left chest wall and axilla are seen. No sub-pleural bleb/bulla was noted. The amount of consolidation in the lingual segment of the left upper lobe had decreased in comparison to imaging two days prior.
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Lastly, the amount of consolidation in the lingual segment of the left upper lobe had decreased in comparison to imaging two days prior (Fig. 1).
Portable surveillance chest x-ray demonstrating a stable appearing left upper lung field cavitary lesion and extensive left lateral chest wall subcutaneous emphysema.
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Surveillance chest x-ray imaging afterwards showed no pneumothorax, and no change in the cavitary lesion size, with no significant changes in the subcutaneous emphysema along the left lateral chest wall (Fig. 2) Aspirate cultures returned with heavy growth of Aspergillus Fumigatus, along with its growth in the fungal cultures.