Items tagged “pleura”

40 results found
Article

Pleural effusion

Pleural effusion tends to be used as a catch-all term denoting a collection of fluid within the pleural space. This can be further divided into exudates and transudates depending on the biochemical analysis of aspirated pleural fluid (see below). Essentially it represents any pathological proces...
Article

Thoracic empyema

Pleural-thoracic empyema (commonly referred simply as an empyema) or pyothorax refers to an infected purulent and often loculated pleural effusion, and is a cause of a large unilateral pleural collection. It is a potentially life-threatening condition requiring prompt diagnosis and treatment. E...
Case

Thymoma - invasive

Thymoma
 Diagnosis almost certain
Dr Hani Salam
Published 04 Jan 2010
55% complete
X-rayCT
Case

Pleural metastases from thyroid cancer

 Diagnosis certain
A.Prof Frank Gaillard
Published 11 Jan 2010
59% complete
CTX-ray
Case

Mesothelioma

 Diagnosis certain
A.Prof Frank Gaillard
Published 15 Jan 2010
71% complete
X-rayCT
Case

Calcified pleural plaques

 Diagnosis certain
A.Prof Frank Gaillard
Published 09 Feb 2010
62% complete
X-rayCT
Case

Mesothelioma

 Diagnosis certain
A.Prof Frank Gaillard
Published 10 Feb 2010
74% complete
CT
Case

Empyema

 Diagnosis certain
A.Prof Frank Gaillard
Published 11 Feb 2010
62% complete
CTPhotoAnnotated image
Article

Clagett thoracotomy

A Clagett thoracotomy is a three stage procedure performed for treatment severe empyema and involves the resection of a posterolateral lower rib and the formation of an open window in the lateral aspect of the chest to allow continuous drainage and irrigation of the cavity with antibiotic soluti...
Article

Empyema vs pulmonary abscess

Distinguishing between an empyema and a peripherally located pulmonary abscess is essential. Lung abscesses are usually managed with prolonged antibiotics and physiotherapy with postural drainage whereas an empyema usually requires percutaneous or surgical drainage. Radiographic features Plai...
Article

Split pleura sign (empyema)

The split pleura sign is seen with pleural empyemas and is considered the most reliable CT sign helping to distinguish an empyema from a peripheral pulmonary abscess (see empyema vs pulmonary abscess) 1-2.  The sign results from fibrin coating both the parietal and visceral surfaces of the pleu...
Case

Pseudotumour and congestive cardiac failure

 Diagnosis certain
Dr Natalie Yang
Published 16 Feb 2010
74% complete
CT
Article

Large unilateral pleural effusion

When a pleural effusion is large and unilateral, concern for an underlying abnormality should be raised. Causes include: tumour bronchogenic carcinoma mesothelioma pleural metastases lymphoma infection parapneumonic effusion empyema extension from sub-diaphragmatic primary infection ch...
Case

Mesothelioma: gross pathology

Mesothelioma

Ima...
 Diagnosis certain
Dr Yale Rosen
Published 23 Feb 2010
63% complete
Photo
Case

Mesothelioma - sarcomatoid

Mesothelioma
 Diagnosis certain
A.Prof Frank Gaillard
Published 23 Feb 2010
59% complete
X-rayCT
Article

Mesothelioma

Mesothelioma, in general, is an aggressive malignant tumour of the mesothelium. The overwhelming majority arise from the pleura, pleural mesothelioma, which this article will focus on. Given the presence of the mesothelium in different parts of the body, mesothelioma can arise in various locati...
Article

Localised mediastinal malignant mesothelioma

A localised (solitary) mediastinal malignant mesothelioma is a rare variant of malignant pleural mesothelioma and is thought to arise from mesothelial cells of the pericardium. There are too few report cases to be dogmatic in regards to epidemiological or radiographic features. Differential d...
Article

Malignant pleural mesothelioma (staging)

A number of staging systems have been described for staging of malignant pleural mesothelioma. Below is the International Mesothelioma Interest Group TNM staging system. TNM T - Tumour Tx: primary tumour cannot be assessed T0: no evidence of primary tumour T1a potentially resectable only ...
Article

Malignant pleural disease

Malignant pleural disease usually heralds a poor prognosis, whether it represents a primary pleural malignancy or metastatic involvement.  Clinical presentation Clinical presentation is variable. Patients may be asymptomatic or have pleuritic pain. If associated with a sizeable pleural effusio...
Article

Pleural plaque

Pleural plaques are the most common manifestation of asbestos related disease, and can be identified with a very high degree of specificity with CT. Epidemiology Pleural plaques are strongly associated with inhalational exposure to asbestos. There is an extremely long latency (typically 20 to ...

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