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ui.case.use_touch_gestures
DICOM HelpSource: Local (us-east1-c)
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Demographics:
61 years old, Female
Indication:
Shortness of breath
Findings
- Large left pleural effusion resulting in near complete opacification of the left hemithorax and mild rightward mediastinal shift
- A large component of the effusion does not dependently layer on right-side-down decubitus view
- Multiple nodular opacities throughout the right lung
- Left aspect of the cardiopericardial silhouette is obscured
Diagnosis
Loculated pleural effusion
Sample Report
Large left pleural effusion which contains a large loculated component as evidenced by lack of dependent layering on the decubitus view. Associated mild rightward mediastinal shift.
Multiple nodular opacities throughout the right lung, for which nonemergent chest CT is recommended.
Discussion
- This is a case where placing the affected side up for a decubitus view was helpful since the loculated effusion was positioned laterally against the chest wall (if the left side were placed down, the effusion would already be positioned dependently, so it would be harder to assess for free layering)