case_images: PMC10622591_01
case_images: Chest x-ray done with patient presentation to the emergency department showing left lower lobe opacification and obliteration of the costophrenic angle due to pneumonia complicated by parapneumonic effusion (Blue arrow).
case_images: CRIS2023-6668677.001.jpg
case_images: PMC10622591_01_CRIS2023-6668677.001.jpg
case_images: fig1
case_images: TB patient. The patient was admitted to the hospital as a case of left-sided pneumonia complicated with pleural effusion based on initial imaging studies that shows obliteration of the left costophrenic angle and left lower lobe opacification (Figure 1), and based on initial labs, she had leukocytosis with white blood cells (WBC) of 17 (10*9/L) and C-reactive protein (CRP) of 257 mg/dL.
case_images: CT scan showing (a) left lower lobe consolidation and atelectatic changes with visualization of pleural collection (orange arrow) and (b) pleural effusion (yellow arrow) in the pleural cavity with extension throughout chest wall (empyema necessitans) (green arrow).
case_images: CRIS2023-6668677.002.jpg
case_images: PMC10622591_01_CRIS2023-6668677.002.jpg
case_images: fig2
case_images: The CT scan (Figure 2) showed patency of trachea and major airways with bilateral ground-glass opacities and consolidation with atelectasis involving the left lower lobe.
case_images: Chest X-ray postinsertion and predischarge. (a) Postinsertion of pigtail catheter in the left thoracic cavity (Red arrow). (b) Chest X-ray showing complete resolution of empyema and remarkable expansion of the left lower lobe.
case_images: CRIS2023-6668677.003.jpg
case_images: PMC10622591_01_CRIS2023-6668677.003.jpg
case_images: fig3