Fig. 2

Radiological imaging on day 20. Chest X-ray examination (a) and thoraco-abdominal CT scan (b): reaccumulation of the left pleural empyema. The diaphragm stayed intact (black arrows) over the whole clinical course subsequent to reconstruction during initial surgery on day 1. White arrows indicate remnants of the healed rib fractures as a consequence of the bicycle trauma 7 months prior to admission for feco-pneumothorax