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Pleural Effusion

Weber LAW - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pleural Effusion

History: 53 y/o man presents to the clinic with chest pain and shortness of breath. Patient reports worsening SOB over the past few days. He has a recent history of pancreatic carcinoma treated with distal pancreactomy 3 months prior.

Findings: PA and lateral chest x-ray consistent with massive pleural effusion in the left lung. Additional findings include mediastinal shift to the right, right lower lobe mass, right sided deep sulcus sign and possible small pneumothorax in the right lung apex.

Ddx: >> Benign Pleural Effusion >> Malignant Pleural Effusion >> Post Surgical Effusion >> Ruptured Diaphragm >> Mass

Dxhow: Thoracentesis

Exam: Vitals: Oxygen saturation 88% on room air, all other vital signs stable General: Patient appears to be in mild distress Respiratory: Patient has markedly decreased breath sounds on the left side with decreased resonance to percussion and decreased tactile fremitus Remainder of physical exam was unremarkable

No MeSH data available.


PA Chest plain film consistent with massive pleural effusion that almost occupies the entire left lung. In addition there is mediastinal shift and silhouetting of the left heart border. The left costo-vertebral angle is completely obscured.
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MPX1403_synpic30943: PA Chest plain film consistent with massive pleural effusion that almost occupies the entire left lung. In addition there is mediastinal shift and silhouetting of the left heart border. The left costo-vertebral angle is completely obscured.


Pleural Effusion

Weber LAW - MedPix (2006)

PA Chest plain film consistent with massive pleural effusion that almost occupies the entire left lung. In addition there is mediastinal shift and silhouetting of the left heart border. The left costo-vertebral angle is completely obscured.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1403&req=5

MPX1403_synpic30943: PA Chest plain film consistent with massive pleural effusion that almost occupies the entire left lung. In addition there is mediastinal shift and silhouetting of the left heart border. The left costo-vertebral angle is completely obscured.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pleural Effusion

History: 53 y/o man presents to the clinic with chest pain and shortness of breath. Patient reports worsening SOB over the past few days. He has a recent history of pancreatic carcinoma treated with distal pancreactomy 3 months prior.

Findings: PA and lateral chest x-ray consistent with massive pleural effusion in the left lung. Additional findings include mediastinal shift to the right, right lower lobe mass, right sided deep sulcus sign and possible small pneumothorax in the right lung apex.

Ddx: >> Benign Pleural Effusion >> Malignant Pleural Effusion >> Post Surgical Effusion >> Ruptured Diaphragm >> Mass

Dxhow: Thoracentesis

Exam: Vitals: Oxygen saturation 88% on room air, all other vital signs stable General: Patient appears to be in mild distress Respiratory: Patient has markedly decreased breath sounds on the left side with decreased resonance to percussion and decreased tactile fremitus Remainder of physical exam was unremarkable

No MeSH data available.