Case Thirty-Six

Case Summary

Diagnosis:  Left Pleural Effusion


Clinical hints:

Most often seen with heart and kidney failure, pneumonias, trauma, collagen vascular diseases (e.g. SLE), and pulmonary infarcts. Need to know if exudate or transudate. (This patient had pneumonia.)


Radiological Pearls:
  • often bilateral in heart failure
     
  • decubitus views show mobility
     
  • if pericardial effusion, may be SLE
     
  • empyema may look the same
     

Films were kindly provided by Dr. W. J. Weiser.

 

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