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Initial chest X-ray from the emergency department demonstrating a right middle lobe pneumonia.
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A chest X-ray (CXR) revealed right middle lobe pneumonia (Fig. 1).
Chest X-ray 24 hours after admission revealing extensive parenchymal involvement, mediastinal shift and a large effusion.
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Twenty-four hours later, due to persistent respiratory distress and increased chest pain, a repeat CXR was done and revealed extensive parenchymal involvement, mediastinal shift and a large effusion (Fig. 2).