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When an empyema with an exclusively lymphocytic cell content assumes a ‘pale creamy’ appearance,1 there is a possibility that the empyema has evolved into a pseudochylothorax.2 Otherwise, in the absence of either pseudochylothorax or chylothorax, a tuberculous pleural effusion with a >90% content of lymphocytes would be expected to have a serous instead …

Pseudochylous pleural effusion as a potential complication of tuberculous empyema