Case contributed by Dr Ayush Goel


Fever, chest pain and cough.

Patient Data

Age: 45 years
Gender: Male

Thick lined, loculated radio-opacity in right hemithorax, with an air-fluid level, loss of silhouette with the right dome of diaphragm. The right cardiac border can be appreciated.


CT confirms collection in the right pleural space with thickened pleura. Also noted are consolidation in the right lower lobe and calcified mediastinal nodes.

Case Discussion

Imaging features are consistent with pyopneumothorax. 

ICD was done using the thick bore tube and yellowish colored pus drained.

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Case information

rID: 29763
Published: 21st Jun 2014
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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