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Right pleural empyema

Right pleural empyema
Chest radiograph (A) shows a large right pleural mass with incomplete margin sign, obtuse angle of interface with the chest wall, and caudad drooping. Axial computed tomography (CT) scan of the chest (B) shows a right lateral pleural loculated collection of pleural effusion with a small anterior gas-liquid level and contrast-enhancing visceral and parietal pleura yielding the "split pleura" sign. Coronal reformat (C) confirms the right loculated pleural empyema with slight enhancement of the adjacent pleura.
Courtesy of Paul Stark, MD.
Graphic 121203 Version 2.0