Subpulmonic pleural effusion

Case contributed by Dr Chris O'Donnell

Presentation

Increasing shortness of breath. Cough for 3 days. Past history of left heart failure.

Patient Data

Age: 75
Gender: Male
X-ray

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).

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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Case information

rID: 37873
Case created: 24th Jun 2015
Last edited: 2nd Sep 2015
System: Chest
Inclusion in quiz mode: Included

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