Tuesday, April 22, 2008

Why no shift?

This is obviously a large pleural collection .
Question - Why there is no mediastinal shift to opposite side ?
What are likely diagnosis
?

Answer - Most likely cause is an endobronchial obstruction ( mass lesion)causing the lung to collapse and compensate .

In this case there was none . This was a slowly evolving , loculating tubercular empyema which developed over 6 months.

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