You are asked to review this CXR of a 69 year old woman on the medical ward
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There are multiple small opacities of varying size throughout both lung fields.
There is a moderate basal and posterior pleural effusion and circumferential pleural thickening around the right hemithorax with a pig tail drain in situ.
This lady has disseminated breast cancer multiple pulmonary metastases and a malignant pleural effusion.
The veil-like opacity over the right mid zone indicates a posterior loculated effusion.
Malignant pleural effusions can have multiple, thick loculations.
VATS to clear the loculations may be useful for some, although indwelling pleural catheters (IPCs) now have a major role in managing what was a very challenging problem.