PMC5587871_01
A chest X-ray acquired 1 year before admission at the patient's annual medical check-up at his high school. The image reveals transparency of the left lung and deviation of the mediastinum. A cavity is also visible in the left upper lung field.
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A cavity was identified in his left lung during a chest X-ray that was performed at his annual medical check-up at his high school (Fig. 1).
A chest X-ray obtained upon admission to the local hospital. The image shows left pneumothorax, pleural effusion, and multiple cavities.
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Chest radiographs revealed left pneumothorax and pleural effusion (Fig. 2).
Chest computed tomography (CT) images. (A) Chest CT scan acquired after the insertion of a drainage tube shows mass-containing cavity lesions surrounded by consolidations. (B) Chest CT scan acquired 15 days after admission shows multiple bronchiolar nodules in the right lung field.
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A chest computed tomography (CT) scan on the day of admission demonstrated mass-containing cavity lesions, which were surrounded by consolidation (Fig. 3A). A chest CT scan acquired 15 days after admission showed the emergence of multiple bronchiolar nodules in the right lung field (Fig. 3B).
Intraoperative findings during the open window thoracostomy and debridement. The parietal pleura was entirely covered with xanthochromic pus, suggesting fungal proliferation.
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At 63 days after admission, an open window thoracostomy and debridement of the focus in the parietal pleura were performed (Fig. 4).