Thoracic empyema

Case contributed by Dr Ahmed Abdrabou

Presentation

Fever, dyspnea, left side chest pain and productive cough.

Patient Data

Age: 75 years
Gender: Male
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 empyema and lung abscess.

Unlike virtually all other chest imaging, with a clinical concern regarding the pleura, particularly in clinical suspicion of empyema, performing the study at 70 seconds, tends to give the best diagnostic images.

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Case information

rID: 24442
Published: 16th Aug 2013
Last edited: 25th Aug 2019
System: Chest
Tag: pleura
Inclusion in quiz mode: Included

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