Pulmonary artery pseudoaneurysms have classically been associated with the cavitary lesions of reactivation tuberculosis and termed Rasmussen's aneurysm. There have been relatively few case reports of pulmonary artery pseudoaneuryms arising secondary to cavitary pneumonia. We present a case of pulmonary artery pseudoaneurysm occurring secondary to cavitating aspiration pneumonia that was treate...

A 31-year-old Hispanic male with no medical history was admitted for fevers, pleurisy, and cough after recent oral surgery and completing demolition and construction work in Juarez, Mexico. Imaging showed a 4.4 cm cavitary lesion and bilateral tree-in-bud opacities. Initial suspicion of bacterial infection confirmed with clinical improvement on culture specific antibiotics, but after discharge ...

A 52-year-old male smoker presented with a 1-week history of fever, left-sided pleuritic chest pain, and body aches. Four days later, cough with hemoptysis developed. He visited the local hospital and was suspected to have left-sided parapneumonic pleural effusion. Repeated attempts at needle aspiration yielded a small amount of pleural fluid, which was exudative with a total leukocyte count of...

Bronchiolitis obliterans organizing pneumonia (BOOP) is a pulmonary disorder with a wide spectrum of radiological features. We report the case of a 58 year old woman, in whom the radiological appearance was multiple cavitary nodules in both lungs, that responded with a complete resolution after corticosteroid therapy. This finding justifies the inclusion of BOOP in the differential diagnosis of...

To cite: Taoka T, Shinohara T, Naruse K, et al. Thorax Published Online First: [please include Day Month Year] doi:10.1136/ thoraxjnl-2016-209437 DESCRIPTION A 65-year-old female presented with a cavitary lesion in the right upper lung field (figure 1A). The diagnosis was aspergilloma because of the chest CT appearance of a fungus ball-like mass in the cavity (figure 1B) and treatment was start...

and soft tissue, and commonly metastasizes to the lungs, showing multiple nodules. The metastatic lung lesions rarely cavitate(1-5), though a angiosarcoma with cavitary metastasis can be complicated by hemopneumothorax(1-5). Metastatic lung lesions showing both cavities and pulmonary hemorrhage on high resolution CT have not, however, been reported. We describe a case of angiosarcoma of the sca...

We report the second case of Mycobacterium kansasii spondylitis in a 14-year-old Caucasian girl who presented with pain in the thoracolumbar region. There was collapsed T8 and discitis, and a cavitary lesion in new chest CT. Biopsy taken from thoracic lesion T8 with CT guidance which had evidence of osteomyelitis and its smear were negative for acid fast bacilli. Bronchoalveolar lavage (BAL) wa...

A 54-year-old man was admitted to our hospital due to exertional dyspnea. Chest radiography and CT revealed a large, thick-walled cavitary mass and a hydropneumothorax in the right lung in addition to a right hilar tumor and multiple small, thin-walled cavitary nodules (Picture 1). A transbronchial direct vision biopsy of the stenotic lesion of the right bronchus truncus intermedius revealed sq...

We present the case of an HIV-positive patient who presents with radiographic and computed tomography findings of cavitary lung disease. There exists a broad differential diagnosis for pulmonary cavitary lesions in immunocompromised individuals. Key factors in narrowing down the differential include clinical setting, CD4 levels, and radiographic findings. Through awareness of the CT appearance ...