Subpulmonic pleural effusion

Case contributed by Dr Ian Bickle

Presentation

Right sided pleurtic chest pain and mild shortness of breath.

Patient Data

Age: 40
Gender: Female
Modality: X-ray

Apparent elevation of the right hemidiaphragm.

The right base 'through the breast' is dense - note the different to the normal left side if observing through the breast as it hangs below the diaphragm.

Case Discussion

A subpulmonic effusion is a pleural effusion that is only visualised in the erect projection. Rather than layering laterally and blunting of the costophrenic fluid it lies almost exclusively between the lung base and the diaphragm, giving the impression of an elevated diaphragm and density behind it.

PlayAdd to Share

Case Information

rID: 46181
Case created: 25th Jun 2016
Last edited: 30th Jun 2016
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.