PMC3504369_01
Ultrasound appearance of complex pleural effusion with extension through diaphragm (white arrow). D: diaphragm. SPL: spleen.
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fig1
A respiratory consult was arranged, and bedside ultrasound examination confirmed a complex loculated pleural effusion (see Figure 1).
Sagittal CT images showing fistula between left kidney and pleural cavity (white arrow).
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fig2
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).
Axial images showing route of nephropleural fistula.
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fig3
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).