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Explosive Pleuritis

Imaging findings

A patient showed rapid accumulation of pleural fluid within three days of an initial subtle left lower lobe opacity. CT imaging revealed a focus of low attenuation consistent with necrotizing pneumonia or a lung abscess.

Key takeaways

"Explosive pleuritis" refers to a rapid development of pleural effusion in the context of an acute respiratory infection. Low pleural fluid pH supports a parapneumonic etiology.

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