Empyema (CT).

Clinical impression: Smoker, fever since 15 days. 

Pre and post contrast MDCT scans were obtained for the chest.

• A loculated collection related to the posterior basal lung segment, pleurally  based, with peripheral enhancement, with air loculi seen within it, with surrounding free fluid , atelectatic bands and collapsed lung segment. There is a coiled drain seen within it.
• Otherwise, The lungs are clear.
• No evidence of any focal parenchymal lesion is observed.
• No evidence of atelectasis is seen.
• No evidence of abnormal bronchial dilatation is observed.
• No evidence of any focal or diffuse emphysema is noted.
• No evidence of interstitial disease is seen.
• No evidence of any mass lesion or lymphadenopathy is observed in the mediastinum or hilar regions.
• The mediastinal vasculature is normal.

IMPRESSION:

• Left basal encysted pleural collection with peripheral enhancement , likely empyema, with coiled drain inside.
• Surrounding basal lung collapse, pleural effusion and atelectatic bands. 

Reported By :DR MOHAMED MOHIE ELDIN          DR.MOHAMED SOBHY
                  CONSULTANT RADIOLOGY                           Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin