EMPYEMA THORACIS

1
EMPYEMA THORACIS

• This is a 34 year old lady who presented with a
  pneumococcal pneumonia and empyema she required
  tube drainage, ventilation in the ITU,
  tracheostomy and thoracic surgical drainage and
  decortication of the L hemithorax. CXR shows
  bilateral consolidation and a left sided pleural
  collection shown to be bilateral on the CT scan.
  Her follow up CXR shows a really good result with
  little residual pleural disease.

2
female DOB 1977

• 2009 November

3
(No Transcript)
4
(No Transcript)
5
(No Transcript)
6

• July 2010

7
LUNG ABSCESS

• This elderly lady has an abscess in the apical
  segment of her L lower lobe. She complained of
  food regurgitation and was shown to have a
  pharyngeal pouch. No organism was identified, she
  was treated for aspitation pneumonia with
  amoxycillin and metronidazole and drainage of the
  abscess aided by the physiotherapists. She was
  deemed too frail to have the pouch repaired.

8
(No Transcript)
9
(No Transcript)
10
BRONCHIECTASIS

• Bronchiectasis is a radiological diagnosis,
  bronchi are larger than normal and may have and
  uneven mucosa the first CT scan shows a good
  example of signet ring brochovascular images a
  bronchus and its accompanying vessel should be
  of similar size, where the bronchus is larger a
  signet ring appearance is seen. The next CT cut
  shows gross brochiectasis in a patient with
  cystic fibrosis.

11
(No Transcript)
12
(No Transcript)
13
(No Transcript)