Abses Paru Besar pada Hemotoraks Kanan

Lung abscess is defined as a localized area of necrosis of the pulmonary tissue and formation of cavities containing necrotic debris or fluid caused by microbial infection. Computed tomography (CT) scan allows optimal characterization of the lesion and effective evacuation. We reported a case of female patient, with chief complain of fever, recurring productive cough with blood, and shortness of breath that worsened since a week before admitted to hospital. The patient had these symptoms since 4 years ago and admitted to several other hospitals with similar problems. She denied any decreased of weight or nocturnal fever. In November 2016, we did a thorax CT scan and chest X-ray that revealed multiple round thick-walled and irregular cavities in lower lobe of right lung, measured 13.7 x 9.5 x 11.7 cm, air fluid level in each cavity, fluid component density is 9-15 HU with consolidation and caused deviation of cardiac position. Histopathology examination found suppurative chronic inflammation without malignant cell. After a throughout evaluation, the patient was diagnosed with tuberculosis infection and treated with anti tuberculosis drugs. In January 2017, a follow up thorax CT was done and revealed a decrease in size of lesion. The main purpose of this report is to show that plain film and thorax CT are useful examinations in assessing lung cavities entity, such as lung abscess. In this case, both CT and chest X-ray finding showed consistent results