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Case of the Week 563 
What is the most likely diagnosis?
- 71 year-old with cough
Frontal Radiograph of Chest
- Benign Fibrous Tumor of the Pleura
- Asbestos-related pleural disease
- Chicken Pox Pneumonia
- Tuberculous Empyema
- Aortic Dissection
Additional Image-None
Additional Images
None
Answer:
4. Tuberculous Empyema
More (Click Discussion Tab)
Tuberculous Empyema
General Considerations
- Represents a chronic, active infection of the pleural space
- The empyema contains many tubercle bacilli
- Empyemas are rare compared to reactive effusions in TB
- They result from numerous organisms spilling into pleural space
- Usually from rupture of a cavity, or
- Via a bronchopleural fistula
MORE . . .
.
This Week
71 year-old with cough |
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
