Pulmonary hepatisation, parapneumonic effusion
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Diagnosis certain
Presentation
Elevated inflammatory markers, cough, dypsnea.
Patient Data
Age: 85
Gender: Female
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Right-sided pleural effusion, ill-defined reduced transparency of the right lung zones, however no immediately obvious consolidation can be identified. Incidentally a degenerative scoliosis and marked atherosclerosis are also visible.
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Focused ultrasound examination revealed an essentially complete consolidation of the right lower lobe with air bronchograms and parapneumonic effusion. The thoracic spine sign is also demonstrated.
Case Discussion
The case shows the added value of focused ultrasound in case of suspected pathology in the lower lung zones, where the complete lobar hepatisation was masked by the associated effusion in the radiograph.
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