Presentation
Cough and fever for 1 month not responding to 2 cycles of antibiotics.
Patient Data
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Right lower long zone opacity silhouetting the right hemidiaphragm and oblitrating the right costophrenic angle.
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Mediastinal window shows right pleural collection with air fluid level with minimal stranding of pleural fat. Diffuse aortic calcifications noted. Lung window shows air-fluid level indicating infection with gas-forming organism or bronchopleural fistula. Adjacent lung parenchymal consolidation
Post contrast study show mild enhancement of the pleural and plural thickening especially at the base.
Case Discussion
Right lower lung zone opacity and obliteration of the ipsilateral CP angle on chest radiograph. CT chest suggests the diagnosis of empyema.
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