Concluded Case

M85. Pain left chest. Breathlessness. Bilateral leg swelling. 15 days.

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Massive pleural effusion left Ad CECT after drainage Fluid for H p & AFB

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Opaque left hemithorax with mediastinal shift towards contralateral side. Possibly massive pleural effusion on left. Adv CECT thorax after ICD. Fluid analysis.

Massive pleural effusion left Ad CECT after drainage Fluid for H p & AFB

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There is very large pleural effusion on left side, In normal circumstances it should have caused trachea and heart to shift to right side. Mediastinal shift is a clinical and radiological marker of significant importance, which at times helps to determine the aetiological cause of the underlying pathology. However, in this case the trachea and heart are found to be central or shifted to the same side as the fluid radiologically, a malignant pleural effusion’ must be suspected.

Lt hemithorax is opaque Trachea pushed to rt Rt lung is hyperinflated Massive hydrothorax Adv tapping of pleural effusion for diagnostic and therapeutic treatment Keep icd

MASSIVE PLEURAL EFFUSION LEFT SIDE WITH MEDIASTINAL SHIFT TO RT SIDE

Massive pleural effusion left Slight shifting of trachea n mediastinum towards the right Calcified aortic knuckle...

Tracheal shift to right Rt lung Hyperinflated Opaque left hemithorax ? Massive left pleural effusion HRCT, pleural aspirate analysis for CBNATT

The chest x-ray PA view. There is rotation to the left. There is an apparent tracheal deviation to the right( due to the push by the arch of aorta) and an apparent shift of the mediastinum to the right ( because of the left rotation ). The carinal angle is normal, the left bronchus is traceable to a very short distance. The whole left lung has homogeneous density. There is slight scoliosis with vonvexoty to the rightand the left intercostal spaces are slightly narrowed.In the right lung, there are few small areas of consolidations. The radiological impression is :-Total left lung consolidation . Clinical correlation and diagnostic pleural aspiration are suggested. ( dt: 14/9/19. 9:20.pm).

Lt massive pleural effusion

MASSIVE PLEURAL EFFUSION LT

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