Figures
- Figure 1
Chest radiograph.
- Figure 2
Left loculated pleural collection with hilar overlay sign.
- Figure 3
a) CT of the thorax showing loculated pleural effusion and b) transthoracic ultrasound revealing hyperechoic pleural collection anteriorly.
- Figure 4
a) Chest radiograph post-pleural catheter insertion anteriorly; b) insertion of the pleural catheter under real-time ultrasound guidance; c) visualisation of the pleural catheter by flushing with agitated saline (white arrow).
- Figure 5
Pleural fluid demonstrated reducing haemorrhagic component over time with intrapleural streptokinase instillation.
- Figure 6
a) Complete resolution of pleural collection after intrapleural fibrinolytic; b) Ultrasound of the hemithorax revealed only residual pleural thickening with normal lung sliding.
Tables
- Table 1
Pleural catheter drain output chart
Treatment day Haemodialysis Intrapleural fibrinolytic 24-h drain output mL Cumulative drain output mL 1 Haemodialysis 0 0 2 Streptokinase x 1 100 100 3 Haemodialysis 0 100 4 Streptokinase x 1 50 150 5 Streptokinase x 1 100 250 6 Haemodialysis 100 350 7 Streptokinase x 2 200 550 8 Haemodialysis 100 650 9 0 650
