Empyema differential diagnosis: Difference between revisions
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| | |CT scan | ||
| | |Cavity is regular with smooth and regular lumen, well-defined defined boundary and shape changes with change in patient's position | ||
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|Cavity is rregular with undulated lumen, irregular-poorly defined boundary and shape does not change with change in patient's position | |||
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Revision as of 21:03, 5 January 2017
Empyema Microchapters |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Differential diagnosis
Variable | Empyema Thoracis | Lung abscess | parapneumonic effusion | Pneumonia | Lung cancer |
---|---|---|---|---|---|
Presentation | Variable presentation but may follow long standing pneumonia | Usually has history of aspiration pneumonia, alcoholics, drug abusers, seizure disorder, have undergone recent general anesthesia, or have a nasogastric or endotracheal tube. | Usually follows pneumonia | presents with fever, pleuritc chest pain, cough | mostly asymptomatic but may have cough productive with hemoptysis |
CT scan | Cavity is regular with smooth and regular lumen, well-defined defined boundary and shape changes with change in patient's position | Cavity is rregular with undulated lumen, irregular-poorly defined boundary and shape does not change with change in patient's position |