Progressive Dyspnea and Back Pain after Complicated Pneumonia

The poor soft tissue contrast of radiography and its modest sensitivity for detection of small pleural effusions limits diagnostic accuracy, but CT of the chest will clearly demonstrate the pleural effusion. Axial and coronal CT images show pleural thickening and enhancement with the "split pleura sign," extension of the pleural fluid collection into the chest wall, air in the pleural space, and fluid loculation. 2. E-mail: deepa.ramadurai@ucdenver.edu Ann Am Thorac Soc Vol 14, No 11, pp 1714-1717, Nov 2017 Copyright © 2017 by the American Thoracic Society DOI: 10.1513/AnnalsATS.201703-256CC Internet address: www.atsjournals.org Recommended Reading Jeung MY, Gangi A, Gasser B, Vasilescu C, Massard G, Wihlm JM, Roy C. Imaging of chest wall disorders.