Empyema chest x ray

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Empyema Microchapters

Patient Information

Overview

Classification

Subdural empyema
Pleural empyema

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

Chest radiography is the initial imaging modality in evaluation of pleural disease.[1] Lateral view is superior in detecting parapneumonic effusions and empyema compared to anteroposterior chest x ray.[2] Chest X ray of empyema shows air-fluid level with continuous homogenous pattern from the mediastinum to the chest wall forming an obtuse angle with the lung parenchyma.

Chest X Ray

Chest radiography is the initial imaging modality in evaluation of pleural disease.[1] Lateral view is superior in detecting parapneumonic effusions and empyema compared to anteroposterior chest x ray.[2]

Chest X ray of empyema shows air-fluid level with continuous homogenous pattern from the mediastinum to the chest wall forming an obtuse angle with the lung parenchyma.

Bilateral lower lobe consolidation with unilateral lenticular shaped right sided
loculated pleural collection forming an obtuse angle(yellow angle in the figure above) with the chest wall. [3]

References

  1. 1.0 1.1 Maffessanti M, Bortolotto P, Grotto M (1996). "Imaging of pleural diseases". Monaldi Arch Chest Dis. 51 (2): 138–44. PMID 8680381.
  2. 2.0 2.1 Moffett BK, Panchabhai TS, Nakamatsu R, Arnold FW, Peyrani P, Wiemken T; et al. (2016). "Comparing posteroanterior with lateral and anteroposterior chest radiography in the initial detection of parapneumonic effusions". Am J Emerg Med. 34 (12): 2402–2407. doi:10.1016/j.ajem.2016.09.021. PMID 27793503.
  3. https://radiopaedia.org/cases/pleural-empyema-5


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