Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jun 28, 2013.
Right pleural effusion
Large free pleural effusion on the right side. There is mediastinal shift to left side
Pleural effusion l.dx. with shift mediastinum contralateral.
Chest X-ray P/A view in erect posture with both dome of diaphragm showing homogenous opacity over the right lung field involving middle & lower lobes with some part of the upper lobe, obliteration of right cardio & costophrenic angle, trachea deviated to the left side, obliteration of right cardiac silouhette, no bony lesion is present. So my provisional diagnosis is Right sided massive pleural effusion.
Answer : Right pleural effusion
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