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Pleural empyema and splenic abscess

Case contributed by Dr Sajoscha Sorrentino

Presentation:

Left chest pain and hypochondrial pain. Shortness of breath.

Patient Data:

Age: 45 years
Gender: Female
Modality: CT

Splenic subcapsular peripherally enhancing cystic lesion with intralesional air densities. Peripherally enhancing left lung encysted collection with relaxation collapse of the left lung. Lesions were drained, empyema and abscess confirmed. 

Case Discussion:

Abscess of the spleen and lung empyema. The differential diagnosis of pleural empyema is lung abscess

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