Figure 11.

Intrathoracic chloroma: a 43-year-old male Known case of Chronic Myeloid Leukemia developed haemoptysis with right lower zone consolidation on chest radiograph (not shown). Contrast-enhanced CT (a–c) showed mass-like consolidation in the right lower lobe (RLL) (straight arrows) with mild pleural effusion (curved arrow in a) and mediastinal lymphadenopathy (curved arrow in c) raising the possibility of infective aetiology. Despite antibiotics, owing to persistent symptoms, repeat non-contrast CT (d–f) was performed 20 days later which showed progression in consolidation of RLL with appearance of air bronchogram (arrow in d) and cavitation (arrow in e), as well as increase in pleural effusion. Additionally, patchy consolidation developed in Right middle lobe (arrow in f). Biopsy revealed myeloid sarcoma; however, despite initiation of treatment, the patient succumbed to his illness after a month.