case_images: PMC3504369_01
case_images: Ultrasound appearance of complex pleural effusion with extension through diaphragm (white arrow). D: diaphragm. SPL: spleen.
case_images: CRIM.PULMONOLOGY2012-595402.001.jpg
case_images: PMC3504369_01_CRIM.PULMONOLOGY2012-595402.001.jpg
case_images: fig1
case_images: A respiratory consult was arranged, and bedside ultrasound examination confirmed a complex loculated pleural effusion (see Figure 1).
case_images: Sagittal CT images showing fistula between left kidney and pleural cavity (white arrow).
case_images: CRIM.PULMONOLOGY2012-595402.002.jpg
case_images: PMC3504369_01_CRIM.PULMONOLOGY2012-595402.002.jpg
case_images: fig2
case_images: Further discussion with a consultant radiologist about the radiographic appearance of the empyema determined that there was in fact a fistulous tract extending between the retroperitoneal collection and the pleural space (see Figures 2 and 3).
case_images: Axial images showing route of nephropleural fistula.
case_images: CRIM.PULMONOLOGY2012-595402.003.jpg
case_images: PMC3504369_01_CRIM.PULMONOLOGY2012-595402.003.jpg
case_images: fig3
case_images: Further discussion with a consultant radiologist about the radiographic appearance of the empyema determined that there was in fact a fistulous tract extending between the retroperitoneal collection and the pleural space (see Figures 2 and 3).