Pleural empyema

Case contributed by Anson Chan
Diagnosis almost certain

Presentation

2-day history of fever, cough, rhinorrhea with increased work of breathing.

Patient Data

Age: 1 year
Gender: Male
x-ray

There is airspace opacification in the left lung. This is associated with a complex left-sided pleural effusion which is most pronounced in the left hemithorax peripherally. The findings are consistent with left-sided pneumonia and empyema.

Case Discussion

Plain radiograph findings of left-sided community-acquired pneumonia and empyema in a pediatric patient with increased work of breathing.

The child was admitted to hospital and improved after a course of intravenous antibiotics.

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