Figure 4: MRI brain of the patient
The CE abdomen identified large renal angiomyolipomas encircling both the kidneys (FIG 5). The dermatologist opined that the skin changes are that of adenoma sebaceum and ashleaf macules, consistent with cutaneous signs of tuberus sclerosis. The pleural fluid bacteriology and NAAT reports virtually excluded infection as the primary cause of the hydropneumothorax.