CT - CT done on same day
Thin-walled cavitary lesions in all lung lobes - abscesses, predominantly in the lower lobes. The largest lesion is in the LLL, measuring 5.2 x 4.8 x 4.2 cm and abutting the oblique fissure and costal pleura.
Small amount of partly loculated right pleural effusion, with enhancing margins - empyema. Several of the RLL abscesses are clearly contiguous with the empyema, which contains a tiny air bubble.
No enlarged axillary, mediastinal or hilar lymph nodes.
Thymic remnant.
Neck (not shown) unremarkable - no sign of lymphadenopathy, abscess, or any other infectious pathology.