case_images: PMC10953646_01
case_images: Posteroanterior and lateral chest radiographs on day 4 of the disease. (A) An opacity can be found in the anteroposterior face at the left paravertebral level (circle). (B) An opacity can be found in the lateral face at the level of the last dorsal vertebrae that blocks the costodiaphragmatic angle on that side (circle).
case_images: rpmesp-40-01-11956-g001.jpg
case_images: PMC10953646_01_rpmesp-40-01-11956-g001.jpg
case_images: f1
case_images: The electrocardiogram showed no alterations and the chest X-ray on day 4 of illness (day 4) was reported as "normal" (Figure 1), but the intense fever (38 C), chills and leukocytosis with neutrophilia (Table 1) persisted.
case_images: Computed tomography images. Axial view with sagittal and coronal reconstruction, on day 35 of illness shows a liquid collection of homogeneous content, with axial diameters of 12.9 x 7.5 cm and surrounded by a thick wall located, for the most part, in the posterior region. The image on day 48 of hospitalization shows an asymmetric, thick-walled cavity, with axial diameters of 6.6 cm x 3.2 cm, with a hydro-aerial level (yellow arrow), with decreased empyema volume, and adjacent pleural thickening.
case_images: rpmesp-40-01-11956-g002.jpg
case_images: PMC10953646_01_rpmesp-40-01-11956-g002.jpg
case_images: f2
case_images: CT scan at DH 15 (DI 48) showed a decrease in empyema volume by more than 50% (Figure 2) and chest ultrasound at DH 22 (DI 55) quantified an empyema volume of just 73 ml. Initial chest CT scan showed extensive pleural empyema in the left hemithorax (Figure 2).