case_images: PMC6051090_01
case_images: Chest X-ray showing bilateral pleural effusion.
case_images: CRIID2018-5469053.001.jpg
case_images: PMC6051090_01_CRIID2018-5469053.001.jpg
case_images: fig1
case_images: Initial chest X-ray showed bilateral pleural effusions (Figure 1).
case_images: Computed tomography (CT) chest without contrast showed bilateral lung nodules and pleural effusions.
case_images: CRIID2018-5469053.002.jpg
case_images: PMC6051090_01_CRIID2018-5469053.002.jpg
case_images: fig2
case_images: Computed tomography (CT) chest without contrast showed bilateral lung nodules and pleural effusions (Figure 2).
case_images: Interval chest X-ray showing worsening bilateral effusions.
case_images: CRIID2018-5469053.003.jpg
case_images: PMC6051090_01_CRIID2018-5469053.003.jpg
case_images: fig3
case_images: An interval chest X-ray demonstrated worsening bilateral effusions (Figure 3).
case_images: Repeat CT chest abdomen pelvis with contrast 5 days later showing septic emboli in the lungs bilaterally and bilateral loculated empyema.
case_images: CRIID2018-5469053.004.jpg
case_images: PMC6051090_01_CRIID2018-5469053.004.jpg
case_images: fig4
case_images: A repeat CT chest abdomen pelvis with contrast 5 days later was ordered which showed septic emboli in the lungs bilaterally, splenic emboli, bilateral loculated empyema, and left adrenal gland hemorrhage (Figure 4).