We present a 17-year-old male patient with persistent community acquired pneumonia resistant to outpatient antibiotic therapy resulting in S. intermedius empyema. Diagnosis was confirmed and treated by video assisted thoracoscopic surgery (VATS) with chest tube placement and TPA injection. https://www.roneverhart.com/Cookies-X-G-Pen-Roam-Portable-E-Rig-Vaporizer/