Presentation
Worsening respiratory function. Post surgical debridement of necrotic pancreatitis.
Patient Data
Age: 65 years
Gender: Female
From the case:
Loculated pleural effusion on CXR
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/75752/annotated_viewer_json?lang=us"}
Bibasal atelectasis. Left mid zone opacification without loss of bronchovascular markings has a sharp medial border and poorly defined lateral border suggestive of a lobulated pleural effusion.
Right jugular CVL and NGT are well positioned.
Case Discussion
A pleural-based mass, or in this case lobulated pleural effusion, classically demonstrate one border that is well defined and one that is not which helps differentiate it from pulmonary based pathology. A loculated pleural effusion can mimic a mass hence is sometimes known as a pleural pseudotumor.
Case courtesy of Dr Nivene Saad.
Unable to process the form. Check for errors and try again.