PMC7152719_01
Computed tomography (CT) scan chest coronal view demonstrated a large, loculated left pleural effusion (17.2 cm anteroposterior x11 cm transverse x25.1 cm craniocaudal) with multiple septations, compressive atelectasis adjacent to the left effusion with near complete collapse of the left lower lobe and partial collapse of the left upper lobe.
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A computed tomography (CT) scan of the chest confirmed the presence of a large, loculated left pleural effusion with multiple septations, mediastinal, axillary, and retroperitoneal lymphadenopathy, as well as hepatomegaly and splenomegaly (Fig. 1).
Computed tomography (CT) scan chest coronal (A) and axial (B) views again demonstrated large complex effusion/empyema in the left lung (12 cm anteroposterior x 7 cm transverse x 19.3 cm craniocaudal) with multiple air foci within the collection.
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In addition, a repeat chest CT again revealed a large complex effusion/empyema in the left lung with new air-fluid levels (Fig. 2).