Hemithorax white-out: empyema
Fever for 5 days, increased WOB. Tachypnoeic at triage.
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White-out of the left hemithorax with mediastinal and tracheal shift to the right. No aerated lung is seen on the left suggesting collapse/consolidation. This results in reduced right lung volumes with plethora. No right sided consolidation, collapse or pleural effusion. No bony abnormality detected.
The patient had subsequent pleural drain inserted, with empyema confirmed as the cause for the white-out.