EURORAD ESR

Case 8921

Chronic loculated thoracic empyema with fade and nonspecific infectious symptoms in an elderly patient with diabetes mellitus

Author(s)
Mantarro A, Bemi P, Sighieri E, Vagli P, Neri E, Bartolozzi C.
 
Patient
male, 80 year(s)
 
 
  • Figure 1
    Supine chest radiograph

    A pleurally based opacity is seen in the lower left lung zone with obtuse angles to the chest wall, probably representing a loculated pleural effusion. Hilar calcified lymph nodes are also seen.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure;
     
     
  • Figure 2
    CT of the thorax
     

    Lung window. A loculated pleural effusion adjacent to the left chest wall is seen associated with atelectasis of the inferior lingular segment.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Diagnostic procedure;

    Lung window. A loculated and lenticular-shaped left pleural effusion is seen, encapsulated by thickened pleural sheaths. Atelectasis of the inferior lingular segment is also seen.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Diagnostic procedure;

    Mediastinal window. A loculated pleural effusion, encapsulated by thickened and partly calcified pleural sheaths, adjacent to the left chest wall is seen.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Diagnostic procedure;

    A loculated and lenticular-shaped pleural effusion, encapsulated by thickened and partly calcified pleural sheaths, adjacent to the left chest wall and extending toward the lateral costophrenic angle is seen.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: CT-High Resolution; Procedure: Contrast agent-intravenous; Diagnostic procedure;
     
     
  • Figure 3
    Follow-up chest radiograph (6 months later)
     

    Postero-anterior chest radiograph: loculated pleural effusion with parietal pleural calcifications, already referred to as chronic empyema; collection of free pleural fluid in the basal area of the left lung.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure;

    Lateral chest radiograph: a well- circumscribed opacity is seen in the left lower lobe, which probably represents the left loculated effusion seen on the lateral chest radiograph.

     
    Area of Interest: Lung; Respiratory system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure;
     
     
A pleurally based opacity is seen in the lower left lung zone with obtuse angles to the chest wall, probably representing a loculated pleural effusion. Hilar calcified lymph nodes are also seen.
 
Lung window. A loculated pleural effusion adjacent to the left chest wall is seen associated with atelectasis of the inferior lingular segment.
 
Lung window. A loculated and lenticular-shaped left pleural effusion is seen, encapsulated by thickened pleural sheaths. Atelectasis of the inferior lingular segment is also seen.
 
Mediastinal window. A loculated pleural effusion, encapsulated by thickened and partly calcified pleural sheaths, adjacent to the left chest wall is seen.
 
A loculated and lenticular-shaped pleural effusion, encapsulated by thickened and partly calcified pleural sheaths, adjacent to the left chest wall and extending toward the lateral costophrenic angle is seen.
 
Postero-anterior chest radiograph: loculated pleural effusion with parietal pleural calcifications, already referred to as chronic empyema; collection of free pleural fluid in the basal area of the left lung.
 
Lateral chest radiograph: a well- circumscribed opacity is seen in the left lower lobe, which probably represents the left loculated effusion seen on the lateral chest radiograph.
 
 
 
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