Pleural pseudotumour

Case contributed by A.Prof Frank Gaillard

Presentation

Infective symptoms.

Patient Data

Age: 75 years
Gender: Female
X-ray

Chest x-ray

Chest x-ray (rotated to the right) demonstrates widespread airspace opacity (possibly with early cavitation) in the right mid zone. A large left sided pleural effusion is present with associated atelectasis. Nasogastric tube and ECG leads noted. 

In the left upper zone a well circumscribed opacity is visible. 

CT

CT chest - a few days earlier

Coronal reformats of a CT of the chest obtained a few days earlier demonstrates that the opacity in the left upper zone is due to encysted fluid in the superior part of the oblique fissure. 

Case Discussion

This case illustrates the typical appearance of encysted pleural fluid, resulting in a pulmonary  pseudotumour. It also highlights the usefulness and necessity of reviewing previous films. 

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Case information

rID: 12283
Case created: 7th Nov 2010
Last edited: 16th Nov 2015
System: Chest
Inclusion in quiz mode: Included

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