Pulmonary hepatisation, parapneumonic effusion

Case contributed by Dr Balint Botz

Presentation

Elevated inflammatory markers, cough, dypsnea.

Patient Data

Age: 85
Gender: Female
X-ray

Supine AP CXR

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.

Ultrasound

Lung US performed in a sitting position

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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Case information

rID: 58146
Published: 2nd Feb 2018
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included
Institution: University of Pécs

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