CXR Case 096

You are asked to review this CXR of a 69 year old woman on the medical ward

CXR CASE 096 CXR LITFL

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.


CLINICAL CORRELATION

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.


CLINICAL PEARLS

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.


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 |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.