Pleural empyema
Presentation
Chest pain.
Patient Data
Age: 50 years
Gender: Male
From the case:
Pleural empyema
X-ray
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Frontal
Loculated left sided pleural effusion extending into the oblique fissure.
Associated left lower lobe volume loss.
From the case:
Pleural empyema
CT
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Axial C+ arterial phase
Loculated left pleural effusion that contains gas and with enhancing pleural margins. Associated atelectasis. Left hilar and mediastinal lymphadenopathy.
Case Discussion
The patient proceeded to VATS with a left sided empyema confirmed that required decortication.