Persistent pneumonia and pulmonary infiltrates are commonly encountered in the intensive care unit. Thorough investigation is needed to uncover and confirm the diagnosis. This report presents a case of persistent pulmonary infiltrate and pleural effusion, which did not resolve despite multiple courses of antibiotics and several attempts of thoracostomy tube drainage. A bronchoscopy was performed that identified chyle aspiration from a persistent chylothorax through a postsurgical bronchopleural fistula.
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