Presentation
Chest pain and shortness of breath.
Patient Data
Age: 60 years
Gender: Male
From the case:
Empyema
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Loculated left pleural effusion with multiple air-fluid levels.
From the case:
Empyema
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Large loculated left pleural fluid collection containing multiple air-fluid levels, faint enhancement of the parietal and visceral pleura with atelectasis of the adjacent lung.
Case Discussion
Characteristic features of empyema include loculated pleural fluid collection and (faint) split pleura sign. The patient had not undergone thoracentesis, so the air within the empyema is likely due to bronchopleural fistula formation. However, the actual fistulous connections are often difficult to see.
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