PMC8207291_01
Mediastinal window of thoracic CT (realized after thoracic drainage) showing a calcified pleural empyema without an air-fluid level. Left side without hemothorax.
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The patient received posterior thoracic drainage with good clinical progress (Figures 1 and 2).
Chest X-ray showing a pleural empyema of the right side with an air-fluid level, associated with rib fractures on the left side (white arrow).
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The patient received posterior thoracic drainage with good clinical progress (Figures 1 and 2).
Mediastinal window of thoracic CT showing a calcified pleural empyema with an air-fluid level in favor of a bronchopleural fistula.
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The patient underwent a chest CT scan which always objectified the calcified PE of the right side, with the appearance of an air-fluid level without flooding of the contrelateral lung (Figure 3).
Open window thoracostomy for a calcified pleural empyema.
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The surgical procedure was an open window thoracostomy (OWT) in the axillary region by resection of the middle arch (6-8 cm) of the fifth, sixth, and seventh rib (Figure 4).