Presentation
Young immunosupressed patient with a cough and fever.
Patient Data
Age: 40 years
Gender: Male
From the case:
Cavitating lung lesion
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A large cavity in the right mid to upper zone with a thin wall and a central air-fluid level.
The remainder of the lungs are normal.
Case Discussion
A broad differential CAVITY exists for the causes of a cavitating lung lesion. This ranges from malignancy to infection.
This was a large lung abscess - these typically occur in the immunosuppressed and/or those with background lung disease.
Large lesions can erode into pulmonary vessels causing hemoptysis, which can be catastrophic.