Serial chest computed tomography; A – hospital day 2: consolidation left lower lobe with moderate pleural effusion, B – hospital day 5: severe bilateral consolidation with bilateral pleural effusions, C – hospital day 17 and D – hospital day 19: both show worsening airspace consolidation with areas of ground-glass appearance, migratory infiltrates and pleural effusions, E − 1 month follow up: improvement in the extent of consolidation, moderately pronounced bilateral pulmonary infiltrates, new areas of subpleural opacity in both upper lobes, loculated right sided hydropneumothorax likely secondary to a bronchopleural fistula.