Pleural empyema CT: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
Prince Djan (talk | contribs) No edit summary |
||
| (5 intermediate revisions by the same user not shown) | |||
| Line 2: | Line 2: | ||
{{Pleural empyema}} | {{Pleural empyema}} | ||
{{CMG}} | {{CMG}} {{AE}} {{PTD}} | ||
==Overview== | ==Overview== | ||
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.<ref name="pmid7384467">{{cite journal| author=Baber CE, Hedlund LW, Oddson TA, Putman CE| title=Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography. | journal=Radiology | year= 1980 | volume= 135 | issue= 3 | pages= 755-8 | pmid=7384467 | doi=10.1148/radiology.135.3.7384467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7384467 }}</ref> Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).<ref name="pmid6602513">{{cite journal| author=Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR| title=Differentiating lung abscess and empyema: radiography and computed tomography. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 1 | pages= 163-7 | pmid=6602513 | doi=10.2214/ajr.141.1.163 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6602513 }}</ref><ref name="pmid17392263">{{cite journal| author=Kraus GJ| title=The split pleura sign. | journal=Radiology | year= 2007 | volume= 243 | issue= 1 | pages= 297-8 | pmid=17392263 | doi=10.1148/radiol.2431041658 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17392263 }} </ref> | |||
==CT== | ==CT== | ||
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.<ref name="pmid7384467">{{cite journal| author=Baber CE, Hedlund LW, Oddson TA, Putman CE| title=Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography. | journal=Radiology | year= 1980 | volume= 135 | issue= 3 | pages= 755-8 | pmid=7384467 | doi=10.1148/radiology.135.3.7384467 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7384467 }}</ref> Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).<ref name="pmid6602513">{{cite journal| author=Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR| title=Differentiating lung abscess and empyema: radiography and computed tomography. | journal=AJR Am J Roentgenol | year= 1983 | volume= 141 | issue= 1 | pages= 163-7 | pmid=6602513 | doi=10.2214/ajr.141.1.163 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6602513 }}</ref><ref name="pmid17392263">{{cite journal| author=Kraus GJ| title=The split pleura sign. | journal=Radiology | year= 2007 | volume= 243 | issue= 1 | pages= 297-8 | pmid=17392263 | doi=10.1148/radiol.2431041658 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17392263 }} </ref> | |||
<br style="clear:left;" /> | |||
[[Image:Output 9aLwrN.gif|500px]] | |||
:CT of the chest demonstrates a very large right sided pleural collection with <br>thickened surrounding pleura (the so called split pleura sign) and multiple <br>gas bubbles. The adjacent lung is compressed and collapsed<ref name=abc>https://radiopaedia.org/cases/empyema Accessed on Jan 9th, 2017</ref> | |||
The following image shows a CT scan of a pneumothorax caused by a pleural empyema. | The following image shows a CT scan of a pneumothorax caused by a pleural empyema. | ||
[[Image:Hydro pneumothorax.jpg|thumb|left|250px|CT chest showing large right sided [[Hydropneumothorax|hydropneumothorax]] from pleural [[empyema]]. ''Arrows A: air, B: fluid'']] | [[Image:Hydro pneumothorax.jpg|thumb|left|250px|CT chest showing large right sided [[Hydropneumothorax|hydropneumothorax]] from pleural [[empyema]]. ''Arrows A: air, B: fluid'']] | ||
| Line 32: | Line 68: | ||
==References== | ==References== | ||
{{ | {{Reflist|2}} | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 17:57, 16 January 2017
|
Pleural empyema Microchapters |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Pleural empyema CT On the Web |
|
American Roentgen Ray Society Images of Pleural empyema CT |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]
Overview
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.[1] Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).[2][3]
CT
On Computed tomographic scan, empyema is seen as a lung mass whose cavity is regular with smooth and regular lumen and well-defined boundary. The shape changes with change in patient's position.[1] Mass on CT scan may resolve on antibiotics. The split pleura sign on CT scan is present (most reliable sign to differentiate empyema from lung abscess where it is absent).[2][3]
- CT of the chest demonstrates a very large right sided pleural collection with
thickened surrounding pleura (the so called split pleura sign) and multiple
gas bubbles. The adjacent lung is compressed and collapsed[4]
The following image shows a CT scan of a pneumothorax caused by a pleural empyema.
References
- ↑ 1.0 1.1 Baber CE, Hedlund LW, Oddson TA, Putman CE (1980). "Differentiating empyemas and peripheral pulmonary abscesses: the value of computed tomography". Radiology. 135 (3): 755–8. doi:10.1148/radiology.135.3.7384467. PMID 7384467.
- ↑ 2.0 2.1 Stark DD, Federle MP, Goodman PC, Podrasky AE, Webb WR (1983). "Differentiating lung abscess and empyema: radiography and computed tomography". AJR Am J Roentgenol. 141 (1): 163–7. doi:10.2214/ajr.141.1.163. PMID 6602513.
- ↑ 3.0 3.1 Kraus GJ (2007). "The split pleura sign". Radiology. 243 (1): 297–8. doi:10.1148/radiol.2431041658. PMID 17392263.
- ↑ https://radiopaedia.org/cases/empyema Accessed on Jan 9th, 2017