Radiology of a case of left lower lobe pneumonia complicated by ARDS. (A) Chest radiograph and CT scan taken on the same day 3 weeks after the onset of respiratory failure. An abscess is obvious in the apical segment of the left lower lobe on the CT scan. There is dense dependent consolidation bilaterally but elsewhere the lungs are affected in a patchy distribution. (B) Chest radiograph and CT scan taken on the same day 5 months after the onset of respiratory failure. Bilateral loculated pneumothoraces are evident despite the placement of several intercostal chest drains on both sides. (C) Chest CT scan taken 6 months after discharge from hospital showing diffuse emphysema and patchy areas of fibrosis.
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