A 75-Year-Old Male with Multiseptated Cavitary Lung Lesion

摘要

A 75-year-old man attended the Department ofRadiologyandImaging in Enam Medical College andHospital for a chest radiography. He presented withhistory of cough and chest pain for 6 months andfever for last 15 days. Chest radiography revealedold pulmonary in?ammatory lesions and pleuralthickening with cystic bronchiectasis. His completeblood count was notable for a white blood cell countof 17,070 with 80% neutrophil. AFB for sputumwas found negative. For further evaluation he wasadvised to do a CT scan of chest. Contrast-enhancedCT (CECT) scan revealed a fairly large irregularthick-walled cavitary lesion having wall thicknessof about 3 mm and multiseptations within. Thelesion measures about 13 cm × 08 cm × 07 cm withcystic bronchiectasis involving superior segment andposterior basal segment of right lower lobe. After IVcontrast administration, mild wall enhancement isevident. There was increased vascularity in both lungfelds with right posterior basal pleural thickening.This mass was diagnosed as infectious cavitary lesion,possibly tubercular in origin.