Lung abscesses

Case contributed by Bruno Di Muzio

Presentation

Intravenous drug user, septic.

Patient Data

Age: 35 years
Gender: Female

CT Chest

ct

In the right upper lobe there are two peripheral and somewhat wedge shaped areas of consolidation with internal cavitations that are surrounded by a thick enhancing rim. The lungs and pleural spaces are otherwise unremarkable. 

Case Discussion

Chest radiograph from a previous admission 3 months ago was normal (not shown). In this clinical settings, the imaging appearances are those of lung abscesses, likely due to heart or peripheral source of seeding. Echo-cardiogram has been recommended with view to check for right heart valve vegetations. 

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