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.