PMC7376396_01
CXR on initial presentation.
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Initial CXR showed a large pleural effusion in the left lung (Figure 1).
CT on initial presentation.
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His chest-abdomen-pelvis CT revealed a large, multiloculated pleural effusion on the left side with almost complete collapse of the underlying lung (Figure 2).
Immediate postoperative CXR.
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Two wide chest drains (28 Fr anterior and tunnelled 32 Fr posterior) were left into the chest, and the lung reexpanded totally after the procedure with minimal air leak (Figure 3).
CXR on readmission.
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Based on the CXR (Figure 4), a surgical 28 Fr drain was reinserted, and he was again started on antibiotics.
CT after readmission and redrainage.
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A CT scan was repeated showing ongoing left-sided consolidation (Figure 5) with small pleural collection.
Repeat CXR from last outpatient assessment.
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Six months after his procedure, he remains well from his chest point of view without any further relapses of his chest infection or pleural collection (Figure 6).