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Plain chest x-ray showing a unilateral opacified right hemithorax.
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Chest x-ray showed complete opacification of right hemithorax (Figure 1).
Coronal chest CT showing an unusual appearance of collapsed right lung without evidence of loculations.
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CT scan of the chest (Figure 2) showed a large pleural effusion occupying the right hemithorax with collapse of the right lung in a bizarre fashion.
Axial chest CT showing lenticular collection.
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Suspicion of loculations at this point was confirmed by a bedside ultrasound (Figure 3) which showed a multiloculated pleural effusion that was not clearly evident on CT scan.