PMC2871551_01
Patient's initial AP chest radiograph. Increased markings are noted in the right lower lobe, along with a possible small right pleural effusion.
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fig1
Her chest X-ray was interpreted as showing a right lower-lobe infiltrate (Figure 1), and she received intravenous ceftriaxone and azithromycin for suspected community-acquired pneumonia.
Representative section from the patient's abdominal CT scan. Dilated, fluid-filled loops of small and large bowel are noted anterior and superior to the liver, along with free fluid.
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fig2
An abdominal CT scan was performed, and it revealed multiple dilated loops of bowel anterior and superior to the liver, with associated free fluid (Figure 2).
PA chest radiograph from the patient's readmission to the hospital. There is a large right pleural effusion, with an air- and fluid-filled structure noted laterally.
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fig3
Her chest X-ray showed a right upper-lobe infiltrate with a large associated effusion (Figure 3).
Representative section from the patient's chest CT scan, performed during the second admission. Most of the right chest is taken up by multiple collections of fluid and gas. Note the leftward deviation of the mediastinal structures.
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fig4
A CT scan of the chest was performed, demonstrating a large, multiloculated fluid collection in the right chest, with multiple air-fluid levels (Figure 4).