PMC6515074_01
A radiograph showing massive pleural effusion in the right lung.
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A radiograph showed pleural effusion in the right lung (Figure 1).
Clinical course of treatment in a 13-year-old male patient. ( ) platelets (Plt); ( ) pleural effusion. TAE, transcatheter arterial embolization; VATS, video-assisted thoracic surgery; DIC, disseminated intravascular coagulation.
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Magnetic resonance imaging showed additional lesions on the lymph ducts on both sides of the inner auditory channels; computed tomography (CT) showed diffuse osteolytic changes on both sides of the femoral neck and thoracic vertebra.  Figure 2 shows the patient's clinical course.
A chest contrast-enhanced computed tomography scan showing massive pleural effusion in both lungs. The black arrow shows a high-density hematoma in the right lung.
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Thus, he underwent thoracoscopic removal of the hematoma (Figure 3).