Pleural empyema

Case contributed by David Cuete
Diagnosis almost certain

Presentation

Symptoms consistent with a chest infection.

Patient Data

Age: 45
Gender: Female
x-ray
Frontal
Lateral
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Info

The x-ray shows a large left-side pleural effusion with mediastinal shift. The right lung is clear.

ct
This study is a stack
Axial
non-contrast
This study is a stack
Axial lung
window
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

The left hemithorax is filled with a huge pleural collection with small air bubbles inside and with the left lung compressed medially and consequent mediastinal shift.

Case Discussion

This pleural collection was confirmed to be an empyema.

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