case_images: PMC9709110_01
case_images: Chest CT scan showed left pleural effusions and linear opacity.
case_images: fmed-09-902711-g001.jpg
case_images: PMC9709110_01_fmed-09-902711-g001.jpg
case_images: F1
case_images: A computed tomographic (CT) scan of the thorax demonstrated left pleural effusions and linear opacity (Figure 1).
case_images: Thoracoscopy demonstrated amounts of white nodules on the pleurae.
case_images: fmed-09-902711-g002.jpg
case_images: PMC9709110_01_fmed-09-902711-g002.jpg
case_images: F2
case_images: To clarify the cause of pleural effusion, video-assisted thoracoscopy was performed and revealed a myriad of white nodules on both the visceral and parietal pleura, as well as on the diaphragm (Figure 2).
case_images: Histologic finding of non-caseating granulomas (hematoxylin-eosin, original magnification x 400).
case_images: fmed-09-902711-g003.jpg
case_images: PMC9709110_01_fmed-09-902711-g003.jpg
case_images: F3
case_images: Histological examination of the pleural biopsy sample demonstrated non-caseating granulomas and real-time quantitative polymerase chain reaction (PCR) for mycobacterium tuberculosis was negative (Figure 3).
case_images: Follow-up chest CT showed a complete withdrawal of the left pleural effusion.
case_images: fmed-09-902711-g004.jpg
case_images: PMC9709110_01_fmed-09-902711-g004.jpg
case_images: F4
case_images: All complaints regressed 2 weeks later and a follow-up CT 4 weeks later exhibited the left pleural effusion almost disappeared (Figure 4).