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Chest X-ray showing bilateral pleural effusion.
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Initial chest X-ray showed bilateral pleural effusions (Figure 1).
Computed tomography (CT) chest without contrast showed bilateral lung nodules and pleural effusions.
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Computed tomography (CT) chest without contrast showed bilateral lung nodules and pleural effusions (Figure 2).
Interval chest X-ray showing worsening bilateral effusions.
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An interval chest X-ray demonstrated worsening bilateral effusions (Figure 3).
Repeat CT chest abdomen pelvis with contrast 5 days later showing septic emboli in the lungs bilaterally and bilateral loculated empyema.
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A repeat CT chest abdomen pelvis with contrast 5 days later was ordered which showed septic emboli in the lungs bilaterally, splenic emboli, bilateral loculated empyema, and left adrenal gland hemorrhage (Figure 4).