Body Region: Chest
Author: Axel Küttner, MD, Erlangen, Germany
1. Patient presentation
- A 62-year-old man was referred to our emergency room for cough, expectoration of sputum,
subfebrile temperatures, elevated C-reactive protein and leukocytosis.
- Chest radiography showed no pneumonic infiltrations. Echocardiography showed pericardial
- Antibiotic treatment was initiated.
- Repeat chest radiography two days later showed small bilateral pleural effusions.
- The following day, since the patient had not improved, chest CT was ordered to rule out
pulmonary embolism or coronary artery disease.