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 years
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).

X-ray

2 days later

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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Case information

rID: 37873
Published: 24th Jun 2015
Last edited: 6th Apr 2019
System: Chest
Inclusion in quiz mode: Included

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