case_images: PMC10349636_01
case_images: the initial chest X-ray showing an effusion and pneumonia on the right with a mediastinal widening and a displacement of the heart to the left
case_images: PAMJ-44-173-g001.jpg
case_images: PMC10349636_01_PAMJ-44-173-g001.jpg
case_images: F1
case_images: Diagnostic assessment: the chest X-ray confirmed the clinical data by highlighting an effusion and pneumonia on the right with a mediastinal widening and a displacement of the heart to the left (Figure 1).
case_images: the control chest X-ray after evacuating puncture showing right loculated pleurisy and mediastinal enlargement with a heart pushed back to the left
case_images: PAMJ-44-173-g002.jpg
case_images: PMC10349636_01_PAMJ-44-173-g002.jpg
case_images: F2
case_images: The course was marked by worsening respiratory distress with a control chest X-ray showing right loculated pleurisy and mediastinal enlargement with a heart pushed back to the left (Figure 2).
case_images: a thoracic CT scan showing a collected diffuse mediastinitis spread to the cervical region associated with a right pleural empyema and pulmonary condensation
case_images: PAMJ-44-173-g003.jpg
case_images: PMC10349636_01_PAMJ-44-173-g003.jpg
case_images: F3
case_images: the immediate chest X-ray control showing a mediastinal enlargement and a right septate pleurisy with a drain well-placed
case_images: PAMJ-44-173-g004.jpg
case_images: PMC10349636_01_PAMJ-44-173-g004.jpg
case_images: F4
case_images: A chest percutaneous drainage brought back 600 ml of pus; the immediate chest X-ray control showed a right septate pleurisy with a drain well placed (Figure 4).
case_images: the control thoracic CT scan showing regression of the mediastinal collection and of the pleural empyema
case_images: PAMJ-44-173-g005.jpg
case_images: PMC10349636_01_PAMJ-44-173-g005.jpg
case_images: F5
case_images: A control thoracic computed tomography scan was performed showing regression of the mediastinal collection and of the pleural empyema (Figure 5).