PMC9486106_01
CT chest on admission illustrating chronic loculated right pleural effusion of similar size to previous imaging.
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CT chest demonstrated similar sized loculated right pleural effusion, similar in appearance to prior CT chest (Fig. 1).
Post-operative CT chest demonstrating large right empyema with pleurocutaenous fistula along prior chest tube tract with extensive subcutaneous emphysema.
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Recovery was complicated by recurrent right sided loculated hydropneumothorax and extensive subcutaneous emphysema and pneumomediastinum with concern for pleural cutaneous fistula along tract of prior chest tube (Fig. 2, Fig. 3).