PMC4701825_01
PA chest radiograph showing a left sided pneumothorax and empyema with chest drain in situ.
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He was subsequently referred to our tertiary referral centre on day 10 for further management (Fig. 1).
CT thorax showing a large left sided hydropneumothorax and giant bullae. Right lung was normal.
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He was commenced on broad spectrum antibiotics - Flucloxacillin, Vancomycin, and Pipperacillin/Tazobactam - as per microbiology advice with minimal improvement (Fig. 2).
Post-operative chest radiograph prior to discharge.
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Postoperative pulmonary function tests were not performed as the patient's respiratory status was not compromised (Fig. 3).