Chronic tuberculous empyema

Case contributed by Dr Rupesh Namdev

Presentation

Old case of pulmonary Koch's, treatment defaulter. Now presenting with cough and breathing difficulty

Patient Data

Age: 40-45 years old
Gender: Female
CT

Plain CT of chest reveals a thick rind of pleura in the left hemithorax, with thick and irregular calcification of both visceral and parietal pleura encasing a small amount of hypodense loculated pleural collection.

Few calcified mediastinal lymphnodes are also seen. Small parenchymal granuloma calcifications and fibrosis are seen.

Volume loss in the left hemithorax. There is mild thickening of ribs seen on the left side with a rather crowded appearance due to ipsilateral lung volume loss.

Case Discussion

Tuberculous empyema is a chronic, active infection of the pleural space characterized by thick rind of pleura with thick and irregular calcification of both parietal and visceral pleura usually surrounding a loculated pleural fluid which contains a large number of tubercle bacilli.

PlayAdd to Share

Case information

rID: 29054
Case created: 29th Apr 2014
Last edited: 14th Mar 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.