Lung abscesses

Case contributed by Safwat Mohammad Almoghazy
Diagnosis almost certain

Presentation

A case of ALL continuously febrile and lobar pneumonia for chest CT assessment.

Patient Data

Age: 30 years
Gender: Male
ct

Previous CT chest dated 8 months back was reviewed and compared and was near unremarkable.

Newly developed bilateral upper lobe segmental and subsegmental consolidative patches are seen with air bronchogram and multiple well-circumscribed hypodense with thin inner wall and fluid density within, the largest in the left upper lobe.

Appearances suggestive of multiple lung abscesses.

Right sided Port-A-Cath is noted in situ.

A few scattered bilateral ground glass nodular density are seen in the lower lung lobe and remaining segments of upper lobes.

Bilateral minimal pleural effusions are seen.

Unremarkable visualized lower neck cuts and upper abdominal cuts and the visualized bones show no suspicious lesions.

Case Discussion

A known case of ALL.

Chest findings suggestive of consolidative pneumonia with multiple lung abscesses.

The patient treated medically and follow-up showed improvement. 

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