PMC4815531_01
Chest X-ray showed left sided pleural effusion
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F1
Chest X-ray showed left sided pleural effusion [Figure 1].
Contrast-enhanced computed tomography (chest and abdomen) revealed cyst in the tail of pancreas and tract (L: Lung, Pl: Pleura, P: Pancreas, C: Cyst)
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F2
The investigations led to the conclusion of pseudo-pancreatic cyst rupture into pleural space [Figure 2].
Magnetic resonance cholangiopancreatography image
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F3
Magnetic resonance cholangiopancreatography (MRCP) was carried out for further confirmation [Figure 3].
Chest X-ray after inter-costal drainage
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F4
Intercostals drainage [Figure 4] was done on left side in order to drain hemorrhagic fluid and patient was started on injection octreotide 100 mug s/c thrice a day for decreasing pancreatic secretions along with broad spectrum antibiotics.