case_images: PMC6515074_01
case_images: A radiograph showing massive pleural effusion in the right lung.
case_images: CRIPE2019-3101357.001.jpg
case_images: PMC6515074_01_CRIPE2019-3101357.001.jpg
case_images: fig1
case_images: A radiograph showed pleural effusion in the right lung (Figure 1).
case_images: Clinical course of treatment in a 13-year-old male patient. ( ) platelets (Plt); ( ) pleural effusion. TAE, transcatheter arterial embolization; VATS, video-assisted thoracic surgery; DIC, disseminated intravascular coagulation.
case_images: CRIPE2019-3101357.002.jpg
case_images: PMC6515074_01_CRIPE2019-3101357.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging showed additional lesions on the lymph ducts on both sides of the inner auditory channels; computed tomography (CT) showed diffuse osteolytic changes on both sides of the femoral neck and thoracic vertebra.  Figure 2 shows the patient's clinical course.
case_images: A chest contrast-enhanced computed tomography scan showing massive pleural effusion in both lungs. The black arrow shows a high-density hematoma in the right lung.
case_images: CRIPE2019-3101357.003.jpg
case_images: PMC6515074_01_CRIPE2019-3101357.003.jpg
case_images: fig3
case_images: Thus, he underwent thoracoscopic removal of the hematoma (Figure 3).