Case of November 2015

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Clinical History:

A 14 year old lady presented with on and off fever associated with cough and sputum for 1 month.  She then experienced increased in shortness of breath and chest pain and attended the accident and emergency department.  There was no haemoptysis and no weight loss.  White cell count was elevated and rest of the blood results were unremarkable.  A chest radiograph and CT thorax was performed.

CXR

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CT Thorax      Non Contrast                                                            Post Contrast