PMC10349636_01
the initial chest X-ray showing an effusion and pneumonia on the right with a mediastinal widening and a displacement of the heart to the left
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F1
Diagnostic assessment: the chest X-ray confirmed the clinical data by highlighting an effusion and pneumonia on the right with a mediastinal widening and a displacement of the heart to the left (Figure 1).
the control chest X-ray after evacuating puncture showing right loculated pleurisy and mediastinal enlargement with a heart pushed back to the left
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F2
The course was marked by worsening respiratory distress with a control chest X-ray showing right loculated pleurisy and mediastinal enlargement with a heart pushed back to the left (Figure 2).
a thoracic CT scan showing a collected diffuse mediastinitis spread to the cervical region associated with a right pleural empyema and pulmonary condensation
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F3
the immediate chest X-ray control showing a mediastinal enlargement and a right septate pleurisy with a drain well-placed
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F4
A chest percutaneous drainage brought back 600 ml of pus; the immediate chest X-ray control showed a right septate pleurisy with a drain well placed (Figure 4).
the control thoracic CT scan showing regression of the mediastinal collection and of the pleural empyema
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F5
A control thoracic computed tomography scan was performed showing regression of the mediastinal collection and of the pleural empyema (Figure 5).