Chest radiograph from the community hospital showing evidence of severe necrotizing pneumonia on left with multiple fluid collections and gas collections.

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Chest radiograph from the community hospital showing evidence of severe necrotizing pneumonia on left with multiple fluid collections and gas collections throughout the consolidated left lung. Chest radiograph from the community hospital showing evidence of severe necrotizing pneumonia on left with multiple fluid collections and gas collections throughout the consolidated left lung. A large, complex pleural fluid collection is also seen with areas of gas and enhancing septations concerning for empyema. Stefani Samples et al. Hospital Pediatrics 2014;4:251-255 ©2014 by American Academy of Pediatrics