Hemithorax white-out: empyema

Case contributed by Dr Henry Knipe

Presentation

Fever for 5 days, increased WOB. Tachypnoeic at triage.

Patient Data

Age: 3 years
Gender: Male
Modality: X-ray

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.

Case Discussion

The patient had subsequent pleural drain inserted, with empyema confirmed as the cause for the white-out. 

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Case Information

rID: 41474
Case created: 3rd Dec 2015
Last edited: 15th Feb 2016
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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