PMC7582089_01
CT of chest revealing large right pleural effusion with right lung collapse and mediastinal shift to the left.
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Computed Tomography (CT) scan of the chest (Fig. 1) revealed complete opacification of the right hemithorax with right lung collapse and mediastinal shift to the left consistent with large pleural effusion. CT of the abdomen and pelvis demonstrated extensive abdominal ascites with nodularity of the peritoneum and a left adnexal cystic lesion (Fig. 2).
CT of abdomen and pelvis revealing abdominal ascites, nodularity of the peritoneum and left adnexal cystic lesion.
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Computed Tomography (CT) scan of the chest (Fig. 1) revealed complete opacification of the right hemithorax with right lung collapse and mediastinal shift to the left consistent with large pleural effusion. CT of the abdomen and pelvis demonstrated extensive abdominal ascites with nodularity of the peritoneum and a left adnexal cystic lesion (Fig. 2).
Photograph of pleural fluid following chest drainage with a chest tube.
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Chest tube placement drained dark brown pleural fluid (Fig. 3) that was exudative and negative for bacterial and fungal cultures as well as Mycobacterium tuberculosis.
Pleural fluid and peritoneal fluid characteristics.
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Cell count revealed 490 nucleated cells/high-power field and 59% histiocytes and 273,000 RBCs/HPF (Fig. 4). ADA of 102.4 IU/L. A paracentesis revealed similar dark brown fluid with comparable cellular characteristics (Fig. 4).