PMC3015586_01
Admission chest x-ray showing large left pleural effusion.
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F1
Tube thoracostomy was performed for a large left pleural effusion seen on the admission chest x-ray (Figure 1), revealing copious amounts of purulent fluid.
Chest computed tomographic scan confirming large amount of left pleural effusion.
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F2
A chest and abdominal computed tomography (CT) with contrast was eventually performed (Figure 2), raising the suspicion of oral contrast present within the chest tube (Figure 3).
Gastrografin upper gastrointestinal series (via nasogastric tube) demonstrating the presence of oral contrast in the chest tube (arrow).
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F3
A chest and abdominal computed tomography (CT) with contrast was eventually performed (Figure 2), raising the suspicion of oral contrast present within the chest tube (Figure 3).
Postoperative UGI showing slight narrowing at mid-body of stomach (arrow).
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F4
A subsequent upper gastrointestinal series (UGI) (Figure 4) and an EGD confirmed the presence of a gastropleural fistula (GPF).