Fig. 1

A High-density image and area without lung markings next to the hilus of the right lung. B The area of high-density shadow was obviously enlarged, and pleural effusion appeared on both sides. C The pneumonia had been absorbed partly as a central area without any obvious changes, but the pleural effusion had increased in both lungs. D The paraspinal lesion continued to grow, the residual lung tissue disappeared completely, the bilateral pleural effusion shrank significantly, but the bone did not change obviously