Case contributed by A.Prof Frank Gaillard

CT of the chest demonstrates a very large right sided pleural collection with thickened surrounding pleura (the so called split pleura sign) and multiple gas bubbles. The adjacent lung is compressed an collapsed.

The findings are consistent with an empyema.

Annotated image

Split pleura sign. 


Typical viscous pus from a pleural empyema (Image from a different patient, but with identical clinical features and diagnosis.  Dr Ian Bickle)

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Case information

rID: 8562
Published: 11th Feb 2010
Last edited: 16th Jul 2018
System: Chest
Tag: pleura
Inclusion in quiz mode: Included

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