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Chest radiographs of patient 4. (A) Chest radiography upon admission showed consolidation of the left lower lobe with pleural effusion. (B) Before methylprednisolone pulse therapy, the radiographic findings remained unchanged with deteriorated clinical signs at hospital day 3. (C) Chest radiography showed resolution of consolidation of the left lower lobe and decreased pleural effusion on the day after initiation of methylprednisolone pulse therapy at hospital day 4. (D) hospital day 7.
