Chronic pleural empyema

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Cough and dyspnea.

Patient Data

Age: 60 years
Gender: Male
ct

A thick rind of pleura is seen in the right hemithorax, with thick and irregular calcification of both visceral and parietal pleura associated with extrapleural fat proliferation and crowding of ribs suggestive of volume loss in the right hemithorax.

The right lung shows multiple fine linear atelectatic bands.

Evidence of sternotomy.

Elevated left diaphragmatic copula with left basal subsegmental atelectasis.

No detected significant mediastinal lymphadenopathy.

Case Discussion

CT findings are in keeping with calcified chronic empyema.

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