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Lung abscess

Case contributed by: Dr Abhijit Datir

Presentation:

Febrile.

Patient Data:

Age: Elderly
Gender: Male

Chest x-ray

Modality: X-ray

Chest x-ray demonstrates a large intrapulmonary cavity with an irregular air/fluid level interiorly. The wall of the cavity is ill-defined, ranging from very thin and smooth laterally to somewhat nodular superomedially. 

The patient was placed on appropriate antibiotics which seemed to settle his symptoms. A repeat chest x-ray obtained one week later. 

Chest x-ray: 1 week later

Modality: X-ray

Although the cavity is more fluid filled, the overall size has reduced. 

Chest x-ray: 1 month later

Modality: X-ray

One month later, the abnormality has almost completely resolved, leaving behind only an area of rarefied lung parenchyma. 

Case Discussion:

This case illustrates the successful resolution of a lung abscess. 

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