A 50-year-old man experienced right chest pain for 6 days. The laboratory examination showed elevated blood white blood cell counts (13,290/μL), and an elevated C-reactive protein (8.18 mg/dL). Chest radiograph showed an air space pattern in right lower lung and obliteration of right costophrenic angle compatible with pneumonia and right pleural effusion. Contrast-enhanced computed tomography (CT) of the chest demonstrated pneumonia in right lower lobe and right pleural effusion. Retroaortic left brachiocephalic vein was incidentally found on CT imaging. Echocardiography showed no congenital heart disease. Antibiotics were administered. Thoracentesis and percutaneous closed drainage using a 10F pigtail catheter for the right pyothorax were also performed. The symptom of the patient improved. He was discharged after the 13 hospitalization days with regular outpatient department follow-up.
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