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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.
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