PMC4681974_01
A. Axial view of a chest CT on admission showing a cavitary lesion in the left upper lobe (thick red arrow) and bilateral pleural effusions (thin blue arrows). B. Coronal view of a chest CT showing similar findings as the axial images of a cavitary left upper lobe lesion (thick red arrow) with focus on right sided consolidation (double thin blue arrows) and smaller left sided effusion (Single thin blue arrow). (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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His chest CT showed bilateral pleural effusions and scattered septic emboli (Fig. 1).
A. Axial view of a chest CT after removal of chest tubes with evidence of resolving pleural effusions and improving areas of cavitation prior to discharge (thick red arrow). B. Coronal view of a chest CT following chest tube removal showing improvement in bilateral effusions and septic emboli. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
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In consultation with the thoracic surgery service, intra-thoracic tissue plasminogen activator (tPA) was administered (alteplase 12.5 mg twice daily) for 3 days to successfully drain each effusion (Fig. 2).