Fig. 1. Abdomen and chest CT, bowel ultrasonography and simple CXR. (A) Abdominal CT finding on the emergency room visit showed enlarged lymph nodes (arrow, maximum length; 2.7 cm) with diffuse bowel wall thickening. (B) Cardiomegaly were shown on CXR on hospital day 4. (C) CT finding demonstrated cardiomegaly and pleural effusion with lung parenchymal consolidation on hospital day 4. (D) On hospital day 13 (last day of hospitalization), the enlarged lymph nodes had decreased to 0.89 cm on bowel ultrasonography.

CT = computed tomography, CXR = chest X-ray.