Presentation
Fever and chest pain.
Patient Data
Age: 40 years
Gender: Male
From the case:
Empyema
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Moderate loculated left pleural effusion with left basilar atelectasis.
From the case:
Empyema
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Moderate loculated left pleural effusion is present with visceral and parietal pleural enhancement. Gas is present in the collection.
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Visual explanation for abscess vs. empyema.
Case Discussion
Findings are typical for an empyema, especially the "split pleura" sign. In the absence of instrumentation, gas in the collection indicates the development of a bronchopleural fistula, which is often seen in cases of empyema.