Empyema CT: Difference between revisions

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==CT==
==CT==
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.<ref name="pmid7384467">{{cite journal| author=Baber CE, Hedlund LW, Oddson TA, Putman CE| title=Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography. | journal=Radiology | year= 1980 | volume= 135 | issue= 3 | pages= 755-8 | pmid=7384467 | doi=10.1148/radiology.135.3.7384467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7384467  }}</ref> Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).<ref name="pmid6602513">{{cite journal| author=Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR| title=Differentiating lung abscess and empyema: radiography and computed tomography. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 1 | pages= 163-7 | pmid=6602513 | doi=10.2214/ajr.141.1.163 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6602513  }}</ref><ref name="pmid17392263">{{cite journal| author=Kraus GJ| title=The split pleura sign. | journal=Radiology | year= 2007 | volume= 243 | issue= 1 | pages= 297-8 | pmid=17392263 | doi=10.1148/radiol.2431041658 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17392263  }} </ref>
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.<ref name="pmid7384467">{{cite journal| author=Baber CE, Hedlund LW, Oddson TA, Putman CE| title=Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography. | journal=Radiology | year= 1980 | volume= 135 | issue= 3 | pages= 755-8 | pmid=7384467 | doi=10.1148/radiology.135.3.7384467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7384467  }}</ref> Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).<ref name="pmid6602513">{{cite journal| author=Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR| title=Differentiating lung abscess and empyema: radiography and computed tomography. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 1 | pages= 163-7 | pmid=6602513 | doi=10.2214/ajr.141.1.163 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6602513  }}</ref><ref name="pmid17392263">{{cite journal| author=Kraus GJ| title=The split pleura sign. | journal=Radiology | year= 2007 | volume= 243 | issue= 1 | pages= 297-8 | pmid=17392263 | doi=10.1148/radiol.2431041658 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17392263  }} </ref>
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[[Image:Output 9aLwrN.gif|thumb|500px|CT of the chest demonstrates a very large right sided pleural collection with thickened surrounding pleura (the so called split pleura sign) and multiple gas bubbles. The adjacent lung is compressed and collapsed]]<br style="clear:left;" />
[[Image:Output 9aLwrN.gif]]


==References==
==References==

Revision as of 14:41, 9 January 2017

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

On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.[1] Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).[2][3]

CT

On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.[1] Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).[2][3]

CT of the chest demonstrates a very large right sided pleural collection with thickened surrounding pleura (the so called split pleura sign) and multiple gas bubbles. The adjacent lung is compressed and collapsed


References

  1. 1.0 1.1 Baber CE, Hedlund LW, Oddson TA, Putman CE (1980). "Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography". Radiology. 135 (3): 755–8. doi:10.1148/radiology.135.3.7384467. PMID 7384467.
  2. 2.0 2.1 Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR (1983). "Differentiating lung abscess and empyema: radiography and computed tomography". AJR Am J Roentgenol. 141 (1): 163–7. doi:10.2214/ajr.141.1.163. PMID 6602513.
  3. 3.0 3.1 Kraus GJ (2007). "The split pleura sign". Radiology. 243 (1): 297–8. doi:10.1148/radiol.2431041658. PMID 17392263.

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