case_images: PMC11019572_01
case_images: (a) Coronal section of a computed tomography of the abdomen and pelvis demonstrating bilateral pleural effusions with lower lobe atelectasis (red arrows), loculated fluid within the abdomen (blue arrow), and splenomegaly. (b) Axial section of a computed tomography of the abdomen and pelvis demonstrating a loculated fluid collection (red arrow) within the abdomen and splenomegaly.
case_images: CRIPU2024-6652207.001.jpg
case_images: PMC11019572_01_CRIPU2024-6652207.001.jpg
case_images: fig1
case_images: A computed tomography of the abdomen and pelvis with intravenous contrast was obtained, demonstrating large bilateral pleural effusions with lower lobe atelectasis, multiple areas of loculated fluid within the abdomen, and splenomegaly (Figures 1(a) and 1(b)).
case_images: Portable anterior-posterior chest radiograph demonstrating bilateral small-bore chest tubes with improvement in bilateral pleural effusions and a central venous catheter terminating at the tip of the right atrium.
case_images: CRIPU2024-6652207.002.jpg
case_images: PMC11019572_01_CRIPU2024-6652207.002.jpg
case_images: fig2
case_images: Given the size of the effusions, their exudative nature, and unclear etiology, bilateral small-bore (14 French) chest tubes were placed to facilitate drainage and obtain more fluid for diagnostic studies (Figure 2).