Plombage (Lucite spheres)

Case contributed by Mr Andrew Murphy

Presentation

Fever

Patient Data

Age: 80 years
Gender: Male
X-ray

Pleural fluid within the left superior hemithorax associated with multiple radiolucent, likely air filled balls, in keeping with previous treatment for tuberculosis. 

The extensive pleural calcification seen in the left hemithorax may also reflect previous attempted pleurodesis as a treatment for tuberculosis.  There is associated loss of volume within the left hemithorax.  

Non-specific minor interstitial opacification within the left mid zone and minor airspace shadowing within the right lower zone.

Case Discussion

Plombage, also known as extraperiosteal or extrapleural pneumonolysis, is a historical treatment method for cavitary tuberculosis of the upper lobes of the lungs.

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Case information

rID: 55513
Case created: 11th Sep 2017
Last edited: 12th Sep 2017
System: Chest
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

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