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Home | Top 100 | TOP 150 CXR | CXR Case 085

CXR Case 085

by Dr Fraser Brims, last update September 10, 2018

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



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About Dr Fraser Brims

A/Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic

+ Fraser Brims | Google Scholar

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