Kindle download - previous pearls
Previous Pearls 2015
Previous Pearls 2014
Previous Pearls 2013
Previous Pearls 2012
Previous Pearls 2011
Previous Pearls 2010
Previous Pearls 2009
Previous Pearls 2008
Previous Pearls 2007
Previous Pearls 2006
Previous Pearls 2005
Related Critical Care sites
Email / Contribute / Feedback
About us / Editorial team

Wednesday October 6, 2015


Q: 44 year old male with HIV is transferred from floor with respiratory failure on fourth day of hospitalization. Patient CT scan of chest has been done. Report reads: "moderate pleural effusion with thickened parietal pleura". What would be your concern?

Answer: Empyema 

In emypyema bacteria quickly get  cleared from the pleural space but there is a deposition of a dense layer of fibrin on pleurae. Thickened pleura with parapneumonic effusion is highly suggestive of empyema.


 Waite RJ, Carbonneau RJ, Balikian JP, et al. Parietal pleural changes in empyema: appearances at CT. Radiology 1990; 175:145.

Tip for finding previous pearl
To find previous pearl - go to 'google', as we archive at google's blogspot.
Type your keyword (like hyperkalemia) followed with icuroom.net

This site is a quick "coffee break" forum for "intensivists" -   trained and dedicated in taking care of  critically ill (ICU) patients !!