Empyema chest x ray

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Empyema Microchapters

Patient Information

Overview

Classification

Subdural empyema
Pleural empyema

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Chest X Ray

Chest radiography is the initial imaging modality in evaluation of pleural disease.[1] Lateral is superior in detecting parapneumonic effusions and empyema compared to anteroposterior chest x ray.[2]

Chest X ray of empyema shows air-fluid level continuos homogenous pattern from the mediastinum to the chest wall forming and obtuse angle with the lung parenchyma.

References

  1. Maffessanti M, Bortolotto P, Grotto M (1996). "Imaging of pleural diseases". Monaldi Arch Chest Dis. 51 (2): 138–44. PMID 8680381.
  2. Moffett BK, Panchabhai TS, Nakamatsu R, Arnold FW, Peyrani P, Wiemken T; et al. (2016). "Comparing posteroanterior with lateral and anteroposterior chest radiography in the initial detection of parapneumonic effusions". Am J Emerg Med. 34 (12): 2402–2407. doi:10.1016/j.ajem.2016.09.021. PMID 27793503.

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