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Closure of the left thoracic cavity due to chronic Aspergillus-associated pleural empyema after left pneumonectomy. (A) Chest X-ray of a patient with a bronchopleural fistula following left pneumonectomy. (B) Left intrapleural Aspergillus vegetations. (C) Closure of the thoracic cavity with muscle flaps after prolonged VAC therapy. VAC, vacuum-assisted closure.
