Fever, dyspnea, left side chest pain and productive cough
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Large left pleural effusion that shows thick enhancing pleural lining with typical split pleura sign. Compression upon the left lung and mediastinal lymphadenopathies are seen.
Split pleura sign can differentiate between emyema and lung abscess.
Unlike virtually all other chest imaging, with a clinical concern regarding the pleura, in particular empyema, performing the study at 70 seconds, tends to give the best images.