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KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
- Pleural effusions classified as transudative or exudative
- Transudative: Due to hydrostatic & oncotic imbalances
- Exudative: Due to ↑ capillary permeability
- Parapneumonic effusions are exudative
- Stages of progression: Exudative (simple) → fibrinopurulent (complicated) → organized
- Empyema is fibrinopurulent parapneumonic effusion
- Pleural effusions classified as transudative or exudative
IMAGING
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Long AM et al: 'Less may be best'-Pediatric parapneumonic effusion and empyema management: Lessons from a UK center. J Pediatr Surg. 51(4):588-91, 2015
- Islam S et al: The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. J Pediatr Surg. 47(11):2101-10, 2012
- Heffner JE et al: Diagnostic utility and clinical application of imaging for pleural space infections. Chest. 137(2):467-79, 2010
- Calder A et al: Imaging of parapneumonic pleural effusions and empyema in children. Pediatr Radiol. 39(6):527-37, 2009
- Hernández-Bou S et al: Pediatric parapneumonic pleural effusion: epidemiology, clinical characteristics, and microbiological diagnosis. Pediatr Pulmonol. 44(12):1192-200, 2009
- Kurian J et al: Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol. 193(6):1648-54, 2009
- Light RW: Clinical practice. Pleural effusion. N Engl J Med. 346(25):1971-7, 2002
- Donnelly LF: Practical issues concerning imaging of pulmonary infection in children. J Thorac Imaging. 16(4):238-50, 2001
- Donnelly LF: Maximizing the usefulness of imaging in children with community-acquired pneumonia. AJR Am J Roentgenol. 172(2):505-12, 1999
- Donnelly LF et al: The yield of CT of children who have complicated pneumonia and noncontributory chest radiography. AJR Am J Roentgenol. 170(6):1627-31, 1998
- Ramnath RR et al: Implications of early sonographic evaluation of parapneumonic effusions in children with pneumonia. Pediatrics. 101(1 Pt 1):68-71, 1998
- Donnelly LF et al: CT appearance of parapneumonic effusions in children: findings are not specific for empyema. AJR Am J Roentgenol. 169(1):179-82, 1997
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Definitions
- Pleural effusions classified as transudative or exudative
- Transudative: Due to hydrostatic & oncotic imbalances
- Exudative: Due to ↑ capillary permeability
- Parapneumonic effusions are exudative
- Stages of progression: Exudative (simple) → fibrinopurulent (complicated) → organized
- Empyema is fibrinopurulent parapneumonic effusion
- Pleural effusions classified as transudative or exudative
IMAGING
Radiographic Findings
CT Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
- Long AM et al: 'Less may be best'-Pediatric parapneumonic effusion and empyema management: Lessons from a UK center. J Pediatr Surg. 51(4):588-91, 2015
- Islam S et al: The diagnosis and management of empyema in children: a comprehensive review from the APSA Outcomes and Clinical Trials Committee. J Pediatr Surg. 47(11):2101-10, 2012
- Heffner JE et al: Diagnostic utility and clinical application of imaging for pleural space infections. Chest. 137(2):467-79, 2010
- Calder A et al: Imaging of parapneumonic pleural effusions and empyema in children. Pediatr Radiol. 39(6):527-37, 2009
- Hernández-Bou S et al: Pediatric parapneumonic pleural effusion: epidemiology, clinical characteristics, and microbiological diagnosis. Pediatr Pulmonol. 44(12):1192-200, 2009
- Kurian J et al: Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol. 193(6):1648-54, 2009
- Light RW: Clinical practice. Pleural effusion. N Engl J Med. 346(25):1971-7, 2002
- Donnelly LF: Practical issues concerning imaging of pulmonary infection in children. J Thorac Imaging. 16(4):238-50, 2001
- Donnelly LF: Maximizing the usefulness of imaging in children with community-acquired pneumonia. AJR Am J Roentgenol. 172(2):505-12, 1999
- Donnelly LF et al: The yield of CT of children who have complicated pneumonia and noncontributory chest radiography. AJR Am J Roentgenol. 170(6):1627-31, 1998
- Ramnath RR et al: Implications of early sonographic evaluation of parapneumonic effusions in children with pneumonia. Pediatrics. 101(1 Pt 1):68-71, 1998
- Donnelly LF et al: CT appearance of parapneumonic effusions in children: findings are not specific for empyema. AJR Am J Roentgenol. 169(1):179-82, 1997
