PMC5684579_01
Chest X-ray shows a moderate-sized right pleural effusion (arrow), which was later confirmed to be a hemothorax.
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fig1
Chest X-ray showed a moderate-sized pleural effusion in the right lung (Figure 1).
Arterial phase of CT chest scan in sagittal plane shows blushes of contrast (arrow) extending into the hematoma at the level of 7th posterior rib.
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fig2
X-ray angiogram of the intercostal arteries shows active contrast extravasation (arrow) from the right T7 intercostal artery.
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fig3
T6-T12 intercostal arteries showed active contrast extravasations from the right T7 intercostal artery (Figure 3), right T8 intercostal artery, and small branch arising from right T10 intercostal artery. This appeared to be ruptured mycotic aneurysms involving intercostal vessels.
Chest X-ray of the patient on the day of discharge shows metallic coils in the intercostal arteries (arrows) and residual volume loss in the right lung (arrow head) following thoracotomy.
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fig4
The patient then completed his course of antimicrobial therapy in the hospital with no further complications (Figure 4).