CXR Case 085

A 45 year old man presents with 2 weeks of worsening fever, pleuritic chest pain and malaise.

CXR CASE 085 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is a multiloculated pleural effusion on the right side.
Left side is normal.


CLINICAL CORRELATION

This is likely to be pleural empyema.
IV antibiotics, further imaging and a chest drain are required.


CLINICAL PEARLS

Pleural drainage is definitely required with a chest tube.

It is not certain that a large bore drain is required – smaller e.g. 14-16F drains may be adequate with regular saline flushes to keep them patent.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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