Loculated pleural effusion on CXR
Worsening respiratory function. Post surgical debridement of necrotic pancreatitis.
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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.
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.