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5 Abnormalities Involving the Pleura

Fig. 5.3 Continued

Loculated Fluid/Pseudotumor

Case 5.3

See Fig. 5.4 in a patient with both a peripheral loculated effusion and pseudotumor, or loculated fluid collection within a fissure.

Case 5.4

The following is a case where a young male was shot in the upper left chest by a sniper. More information can be obtained for a case report [4]. Case and images reprinted with permission from Military Medicine: International Journal of AMSUS.

Findings: Loss of left paratracheal stripe and pleural thickening consistent with pleural cap in upper lung field. In addition, left upper lung contusion and metallic fragmentation from bullet is noted.

Location: Loculated pleural fluid: blood from vascular injury.

Differential Diagnosis: Loculated blood in left upper pleural space.