Pleuropulmonary Paragonimiasis in a Laotian Immigrant to Australia Chitta M. Mukerjee, M.B.B.S., F.C.C.P, Sheila E. Simpson, S.R.N., Richard J. Bell, M.B.B.S., John C. Walker, Ph.D  CHEST  Volume 101, Issue 3, Pages 849-851 (March 1992) DOI: 10.1378/chest.101.3.849 Copyright © 1992 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Extensive fibrobullous lesions in both upper zones, unchanged in appearance since 1980–1981 films. Localized honeycomb pattern with patchy shadowing and a small, dense opacity are seen in the left lower zone, along with obliteration of the left costophrenic angle, which had not been present in 1981. CHEST 1992 101, 849-851DOI: (10.1378/chest.101.3.849) Copyright © 1992 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Chest radiographic appearance had worsened, showing a dense, irregular opacity measuring approximately 3 × 2 cm in the left lower zone with associated pleural reaction. CHEST 1992 101, 849-851DOI: (10.1378/chest.101.3.849) Copyright © 1992 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Complete regression of the opacity in the left lower zone, as well as some clearing of the upper zone lesions, which had changed to a more fibrocalcific pattern. CHEST 1992 101, 849-851DOI: (10.1378/chest.101.3.849) Copyright © 1992 The American College of Chest Physicians Terms and Conditions