Pleural Effusion Radiology PDF

Summary

This document describes the radiological appearances and types of pleural effusion in a patient's thorax. It includes details of fluid accumulation and its position in the thorax.

Full Transcript

Pleural Effusion Radiolog y Fluid collection in the between the parietal and...

Pleural Effusion Radiolog y Fluid collection in the between the parietal and space · visceral layers of the pleura, usually serous fluid, but may have differing contents. · Haemothorax -Blood 127 iii) Empyema - Purulent fluid from extension of pneumonia or lung abscess. his Chylothorax-Chyle from thoracic ductrupture or from malignantinvasion. (in Hydropneumothorax: Fluid & air. Radiological Appearances: · Pleural position, gravitates to fluid, in erect the lower- partof thoraxwith following features most on Chet X-Ray. Homogeneous opacification, similar density as Cardiac shadow. outline. (ii) Loss of diaphragm No visible bronchial iii. pulmonary or markings. Concave border in upper with highest level in axilla. Initially * the fluid accumulates in the posterior, then the lateral costophrenic space. there mediastinal With * larger effusions, is a shift to opposite side. volume that visualized · Minimum fluid is can be on chest x Ray 200-300me. - subpulmonary effusion: · camed by fluid accumulating between the diaphragm & inferior partof lung. shadow · The upper margin of of the fluid runs parallel to the diaphragm on the PA film chest mimics a high diaphragm. loculated Effusion: Fluid loculate · can in the fissure or againstthe chest wall, and this Cardiac is occasionally seen in failure. · On treatment, pleural efficion disappears. I Phantom long tumour/Vanishing lung tumour Pleural * meniscus sign: 8 Amountof fluid 500m = to 12 Creates dense · opacity with an ill defined upper margin. · Meniscus like appearance. hemithorax: Opaque * of fluid: · Amount 3 to 5 · Investigation X-Ray = &cE.c · Mediastinal shift all To opposite side. I Critically ill patient: Pleural effusion in C MedNotes [ www.mednotes.in ] Full MedNotes : mednotesebooks.company.site App Available on PlayStore

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