Submitted by Dr TANG Kam Shing on 19 March 2009
ICU, Tuen Mun Hospital
This 25-year old man living in hostel had severe mental retardation. He was admitted for fever for a few days and dyspnoea. He required intubation soon after hospital attendance and was admitted to the ICU. The CXR showed massive left pleural effusion. Chest tapping was tried a few times but failed. USG of the left chest was done and the image is shown below. What is the pathology?
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Answer: the USG showed a organized pleural effusion with almost no fluid components already. pleural tapping or drainage is abandoned and thoracic surgeons were consulted for decortication