Presentation
The patient is complaining of fever, cough for 2 weeks with productive sputum, no other significant complaints, no history of any recent travel, no history of contact with a suspected or confirmed complaining of Covid-19 in the last 2 weeks. Clinical examination: febrile, chest shows crept in the right middle lung zone.
Patient Data
Age: 25 years
Gender: Male
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Right lower lung lobe at the apical segment, thickened walled cavitary lung lesion measuring 60X60mm is seen ? lung abscess
Prominent right hilum.
Bilateral prominent broncho-vascular markings.
Normal heart size.
Minimal blunting of both costophrenic angles.
Case Discussion
The differential diagnosis of the lung cavitary lesions inclouds :
- infections: such as Streptococcus p, Staphylococcus aureus, Klebsiella p., mycobacterium
- pulmonary abscess: as complicated pneumonia
- mycobacterium tuberculosis infection
- septic Emboli
- aspergillosis: is caused by a fungus, Aspergillus fumigatus
- malignancies
- granulomatosis with polyangiitis, sarcoidosis and rheumatic nodules
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