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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.


Lateral Chest plain film consistent with massive pleural effusion. There is silhouetting of the left ventricle and IVC as well as a general absence of pulmonary vascular markings.
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MPX1403_synpic31008: Lateral Chest plain film consistent with massive pleural effusion. There is silhouetting of the left ventricle and IVC as well as a general absence of pulmonary vascular markings.


Pleural Effusion

Weber LAW - MedPix (2006)

Lateral Chest plain film consistent with massive pleural effusion. There is silhouetting of the left ventricle and IVC as well as a general absence of pulmonary vascular markings.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1403_synpic31008: Lateral Chest plain film consistent with massive pleural effusion. There is silhouetting of the left ventricle and IVC as well as a general absence of pulmonary vascular markings.

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.