Pleural empyema

Case contributed by Frank Gaillard
Diagnosis certain

Chest x-ray


Chest x-ray demonstrates multiple air fluid levels in the lower part of the right hemithorax. This is associated with patchy areas of consolidation, possibly with areas of cavitation. The left side is unremarkable. 

CT chest


CT demonstrates a large sub-pulmonic collection with consolidation of the compressed lung above. 

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