대한흉부영상의학회 Weekly Chest Cases

Courtesy of Eun Jin Chae, M.D., Kyung-Hyun Do, M.D., Joon Beom / Asan Medical Center, Ulsan University, Seoul, Korea
Age/Sex 64 / M
Chief ComplaintFever and general weakness for 3 days

Diagnosis: Septic embolism
Radiologic Findings: Initial chest radiograph shows mass-like consolidation in the right upper lobe and multiple, poorly-defined nodular opacities in peripheral portion of both lungs. In right upper quadrant of abdomen, there is an air-fluid level and irregular air densities overlapped with hepatic shadow. Chest CT scans show wedge-shaped consolidations with peripheral halo in both upper lobes. Also there are multiple nodules with or without cavitation in peripheral portion of both lungs. Small amount of pleural effusion is seen bilaterally. Three days after, follow-up chest radiograph shows rapid progression of consolidations in both lungs. In right hepatic lobe covered in chest CT, we can see a large air-containing mass suggesting necrotizing hepatic abscess. Percutaneous drainage was done for hepatic abscess and Klebsiella pneumoniae was grown in culture of drained pus and blood.
Brief Review: Please refer to case 69 and 216.
References: Please refer to case 69 and 216.
Keywords: Lung, Vascular, Infection, Bacterial infection,

대한흉부영상의학회 Korean Society of Thoracic Radiology