PMC6479155_01
a: Chest radiograph on presentation shows left sided pleural effusion; 1b: Intercostal drain shows macroscopic appearance of chylous pleural fluid.
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PMC6479155_01_gr1.jpg
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Examination and chest radiograph were in keeping with a left sided pleural effusion, Fig. 1a.
PMC6479155_02
a: Chest radiograph at presentation, shows right pleural effusion and bilateral parenchymal infiltrate. 2b: Abdominal ultrasound shows multiple splenic abscesses. 2c) Intercostal drain collection shows the chylous tuberculous effusion.
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PMC6479155_02_gr2.jpg
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The child appeared unwell with examination findings of fever, respiratory distress requiring oxygen; enlarged cervical lymph nodes, mild hepatosplenomegaly, and features consistent with a right sided pleural effusion and left lower lobe pneumonia, confirmed on chest radiograph, Fig. 2a.