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Case Reports
. 2012 Jan;141(1):265-269.
doi: 10.1378/chest.11-1397.

A 46-year-old man with seizures, brain lesions, and pulmonary infiltrates

Rachel L Zemans  1 , Amanda R Stream  2 , Ali I Musani  3 , Gurpreet Dhaliwal  4
Affiliations
Case Reports

A 46-year-old man with seizures, brain lesions, and pulmonary infiltrates

Rachel L Zemans et al. Chest. 2012 Jan.
No abstract available

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Figures

Figure 1.
Figure 1.
A, B, Two views of a brain MRI demonstrating multiple focal white matter lesions with some cortical involvement.
Figure 2.
Figure 2.
A, Chest CT scan demonstrating patchy ground glass in the upper lobes bilaterally. B, Chest CT scan demonstrating consolidation in the lower lobes bilaterally.
Figure 3.
Figure 3.
A, Brain biopsy specimen demonstrating an abscess with central necrosis and surrounding multinucleated giant cells (hematoxylineosin stain, original magnification ×20). B, Brain biopsy specimen demonstrating numerous branching, filamentous bacteria consistent with Nocardia species within the necrotic center (Grocott methenamine silver, original magnification ×60).
Figure 4.
Figure 4.
Chest radiograph 2 weeks later showing resolution of the lower-lobe consolidation.
Figure 5.
Figure 5.
Chest CT scan demonstrating upper-lobe airspace opacities increased but in the same distribution as 1 year prior and now accompanied by septal thickening in a “crazy paving” pattern.
See this image and copyright information in PMC

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