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Images in Thorax
‘White out’: a rare cause
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  1. Gurinder Tack1,
  2. Dhakshinamoorthy Ganeshan2,
  3. Jonathan Wide2,
  4. Paul Stockton1
  1. 1Respiratory Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK
  2. 2Radiology Department, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK
  1. Correspondence to Dr Gurinder Tack, Respiratory Medicine, St Helens and Knowsley Teaching Hospitals NHS Trust, Prescot, UK; g.tack{at}nhs.net

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A patient in their mid-40s presented with a history of worsening dyspnoea. The patient had neurofibromatosis type 1 and had previous spinal surgery for kyphoscoliosis.

A chest x-ray showed a right sided ‘white out’, thought to be a pleural effusion (figure 1A). CT thorax showed a thoracic scoliosis with internal fixation and a large fluid collection within the right hemithorax. A chest drain was scheduled to be inserted.

Figure 1

(A) Chest x-ray showing marked scoliosis with …

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