PMC3530861_01
Patchy hyperpigmentations on the patient's shin.
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General and systemic examinations were significant for a patchy, macular hyperpigmented rash on the dorsum and pedal areas of his foot and on his shins bilaterally (Figure 1) and both decreased breath sounds and vocal fremitus in the right lower chest region.
Chest X-ray on admission showed infiltrates and pleural effusion on the right lower zone.
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Chest X-ray revealed patchy infiltrates on the right lower zone and obliteration of the right costophrenic angle suggesting pleural effusion (Figure 2).
Chest CT showing the encysted pleural effusion.
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CT scan of chest of chest showed multiple areas of encysted pleural effusion on the right lung (Figure 3).
Chest X-ray on discharge.
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His chest X-ray on discharge showed significant improvement (Figure 4).