Normal chest Xray small area of consolidation and small pleural effusion

Images by Genevieve Carbonatto

This young man presented with a one week history of cough and a 2 day history of a very localised chest pain.

His chest Xray films were unremarkable
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His ultrasound was interesting

Just at the point of his pain, there is a break in the pleural line suggesting a small area of consolidation. At that same costophrenic space he has a small pleural effusion. He was discharged with a short course of antibiotics

Irregular dip at the level of the pleural line called the shred sign. Small pleural effusion right costophrenic angle

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