Pleural effusion with complete right lower lobe collapse

Case contributed by Dr M Osama Yonso

Presentation

A 75 Y/O male with shortness of breath, and he had a history of cardiac operation 10 years ago

Patient Data

Age: 75 y
Gender: Male

Massive opacity right hemithorax, no shift of trachea and heart, smaller right hemithorax, right heart and diaphragmatic silhouettes are not identifiable, marks indicates to heart surgery. 

Right pleural effusion with right lower lobe atelectasis

CT shows huge right pleural effusion with majority RT lung atelectasis  

X-ray

Control after Puncture of pleural fluid

PA  chest x- ray shows right pleural effuision with a few air-fluid  levels with a view looks like a Golden S sign 3 but is inverted, this may indicates to  central bronchial tumor that caused lower lobe atelectasis  of the right lung 

Case Discussion

Chest x-rays are the most commonly used examination to assess for presence of a pleural effusion. 

Ultrasound allows the detection of small amounts of pleural locular fluid, with positive identification of amounts as small as 3 to 5 ml, that cannot be identified by x-rays, which is only capable of detecting volumes above 50 ml of liquid.

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Case information

rID: 25128
Case created: 6th Oct 2013
Last edited: 1st Mar 2016
System: Chest
Inclusion in quiz mode: Included

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