Fig. 8

A 68-year-old female with CLL with 13q deletion on watchful waiting with progression of CLL a Axial CT of the chest obtained in arterial phase demonstrates bilateral axillary lymphadenopathy with the largest left axillary lymph node measuring 2 cm in short axis (white arrow). b Axial CT of the chest obtained 3 months after initiating Ibrutinib therapy reveals significant decrease in the lymphadenopathy with the axillary node now measuring less than a centimeter in short axis (white arrow). c Axial CT of the chest obtained in arterial phase as a part of restaging examination in the same patient reveals focal ground glass opacity in the right upper lobe (double arrows) raising concern for Ibrutinib pneumonitis