Thoracic empyema

Case contributed by Dr Ahmed Abd Rabou

Presentation

Fever, dyspnea, left side chest pain and productive cough

Patient Data

Age: 70-75 years old
Gender: Male
Modality: CT

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.

Case Discussion

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.

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Case Information

rID: 24442
Case created: 16th Aug 2013
Last edited: 11th Dec 2015
System: Chest
Tag: pleura
Inclusion in quiz mode: Included

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