uk-fficm MCQ (SBA): Empyema - Surgical Management

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ModerateRespiratory & VentilationEmpyema - Surgical Managementuk-fficm

A 65-year-old man on ICU has a chest drain for a right-sided empyema. The drain has been in situ for 10 days with ongoing output. Repeat CT shows a residual 4 cm loculated collection that is not communicating with the drain. The patient remains febrile. Medical therapy with intrapleural tPA/DNase has been attempted without success. What is the recommended surgical intervention?

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