Empyema

Case contributed by Dr Maulik S Patel

Presentation

Fever and cough for 1 week.

Patient Data

Age: 7 years
Gender: Male

Chest X-ray

X-ray

Left costo-phrenic region ground glass haziness along chest wall.

Ultrasound

Anechoic central areas with well defined walls suggesting split pleura sign.

Two distinct layers of thickend pleural seen with central avascular hypoechoic areas. High vascularity is seen in thickened pleura.

Air in lung shows reverberation artifact deep to the lesion.

Case Discussion

Findings favor small developing empyma.

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