https://westernsono.ca/cases/case-of-the-week-august-19-2019/ Point-of-care Ultrasound Education at Western University Mon, 09 Sep 2019 05:14:40 +0000 hourly 1 https://wordpress.org/?v=6.4.3 https://westernsono.ca/cases/case-of-the-week-august-19-2019/#comment-158 Mon, 09 Sep 2019 05:14:40 +0000 https://westernsono.ca/?p=15057#comment-158 It’s realy look like a bilateral pleural effusion. In the right i Can see some fibrin attachement. Probably a loculated pleural effusion. It could be difficult to perform a chest tube in this situation because the needle Can go trough the lung parenchyma due to the fibrin attachement so i think it would be more safe to bring her aigain to the OR. Send a sample of pleural fluid to the lab, check for infection and malignancy, put a large spectrum antibiotics by waiting for the results. Thanks for the case.

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