Figure 1

Contrast-enhanced multi-slice CT of the thorax performed 48 hours after admission. Multi-slice CT of the thorax confirmed presence of bilateral pleural effusion and consolidation of lower lobes and lingula; cavitation was revealed in the pleural-based consolidation of the lingula (Figure 2A-B, white arrows) and in the right lower lobe (Figure 2A-C-D, black arrows). These findings were considered indicative of a necrotizing, gangrenous pneumonia.