Presentation
Cough and symptoms consistent with a chest infection. Reduced air entry on the right.
Patient Data
Age: 35 years
Gender: Male
From the case:
Empyema in tension
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There is a large right sided effusion with underlying basal collapse. No mass lesion identified.
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Despite antibiotic therapy, the side of the pleural collection has increased in size. There is now mediastinal shift.
From the case:
Empyema in tension
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The right hemithorax is filled with a huge pleural collection with the right lung compressed medially and consequent mediastinal shift. There is an enhancing rim around the collection.
Case Discussion
This pleural collection was confirmed to be an empyema at drainage where 5 liters of pus were drained from the chest.
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