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Age: 54

Sex: Female

Indication: Fever, dyspnea

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Case #4


Findings

  • Moderate-sized loculated left posterior and basilar hydropneumothorax
  • Widespread interstitial thickening with bilateral patchy airspace opacities
  • Normal size and configuration of the cardiopericardial silhouette


Diagnosis

  • Empyema

Sample Report

Moderate-sized loculated left hydropneumothorax with irregular, thickening margins, concerning for empyema. Recommend chest CT for further evaluation.

Widespread interstitial thickening with bilateral patchy airspace opacities, which likely represent a combination of edema and multifocal pneumonia.


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Images

Subsequent CT shows a multiseptated empyema with marked peripheral soft tissue thickening (red arrows).



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