PMC5674496_01
First chest X-ray (normal).
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His initial white cell count, LFTs, and coagulation profile were within normal limits as was his chest X-ray (Figure 1()).
Second chest X-ray (after 48 hours). Right-sided severe pneumonia with parapneumonic effusion.
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An urgent chest X-ray was carried out which was horrendous (Figure 2()), showing clear extensive consolidation.
(a) and (b) CT scan chest (severe consolidation with effusion). (c) Coronal image of CT chest showing extensive consolidation and para pneumonic effusion.
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The contrast-enhanced computerized tomographic scan of his chest showed extensive consolidation on his right side with parapneumonic effusion (Figures 3()-3()).
CT neck. No venous thrombosis.
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