Presentation
Increasing shortness of breath. Cough for 3 days. Past history of left heart failure.
Patient Data
Age: 75 years
Gender: Male
From the case:
Subpulmonic pleural effusion
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Apparent elevation of the right hemidiaphragm but with a lateralized dome (arrow) on the anterior view and minor but definite fluid tracking up the oblique fissure on the lateral projection (arrow).
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Performed 2 days later following insertion of a drainage catheter
Case Discussion
Subpulmonic effusions sit between the lung and hemidiaphragm, and can be difficult to differentiate from elevated hemidiaphragm on the chest X-ray.
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