Subpulmonic pleural effusion

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

End-stage kidney disease. Fluid overload.

Patient Data

Age: 50 years
Gender: Male
x-ray

There is a moderate-sized right basal and right subpulmonic pleural effusion. Sternotomy wires and loop recorder noted. Moderate cardiomegaly.

Case Discussion

Subpulmonic effusion is a pleural effusion that can be seen only on an erect projection. Rather than layering laterally and blunting the costophrenic angle, the pleural fluid lies almost exclusively between the lung base and the diaphragm. 

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