PMC7658704_01
Chest xray on admission.
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Complete opacification of the left lung with the trachea deviated to the right was noted on chest x-ray (Fig. 1).
Chest ultrasound, 2nd hospital day.
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Ceftriaxone were started. Chest Ultrasound showed approximately 205ml fluid in the left hemithorax with septations and atelectasis of the underlying lung (Fig. 2).
Chest CT scan, 2nd hospital day.
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CT scan with IV contrast was done revealing massive left sided pleural effusion with mass effects and area of atelectasis/consolidation on the posterior basal segment of the right lower lobe (Fig. 3). Chest tube was then inserted on the fourth intercostal space left mid-axillary line and pleural fluid was sent for analysis.
Chest CT scan, 15th hospital day.
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Chest CT scan on the fifteenth hospital day (Fig. 4) showed significant but partial regression of pleural effusion and atelectasis.