Thoracic empyema

Case contributed by Dr Ahmed Abdrabou


Fever, dyspnea, left side chest pain and productive cough

Patient Data

Age: 70-75 years old
Gender: Male

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
Published: 16th Aug 2013
Last edited: 16th Jul 2018
System: Chest
Tag: pleura
Inclusion in quiz mode: Included

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