A woman, 37 yo, with fever, dyspnea in the past two weeks that became worse and with hoarseness and dysphagia one day before hospital admission.
The patient had hypoxemia necessitating oxygen, and the chest x-ray is shown below.
Which radiologic findings can you identify?
What are your diagnostic impressions?
What treatment is recommended?
Érica Aline Andrade Santos, MD, resident in Pulmonology*
Nahme Nicolau Nagib Karbage, MD, resident in Internal Medicine*
Ricardo Coelho Reis, MD, MSc, Supervisor of the Pulmonology Program*
Marcelo Alcantara Holanda, MD, Ph.D, Professor of Critical Care and Pulmonology at the Medical School*
*Hospital Universitário Walter Cantídio, Universidade Federal do Ceará (UFC), Fortaleza, Brazil