POCUS IOTW: Empyema

Posted on: February 18, 2019, by :

This is a teenage girl who presented with shortness of breath, right-sided shoulder pain and back pain. On ultrasound, she was found to have a large complex effusion with septations concerning for empyema. The phased-array transducer was used in order to have the depth to capture the fluid collection in the right chest. On CT scan, she was found to have necrotizing pneumonia with multiloculated empyema and ultimately required a VATS.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Carrie Ng

Pediatric Emergency Medicine Attending at Children's National Health System
Carrie was born in San Francisco, but grew up between Hong Kong and Los Angeles. Although she loves the sun, she was excited to move away from home to Philadelphia for medical school, where she explored a new city, learned to appreciate all four seasons, and met her Canadian husband. She then moved to New York City and completed her Pediatrics residency at NYU and PEM fellowship at Columbia. During this time, Carrie developed a passion for bedside ultrasound and decided to join the CNMC faculty while pursuing an Emergency Ultrasound fellowship. In her spare time, Carrie loves traveling, listening to podcasts, and playing board games.

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