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Misleading presentation of empyema
  1. S Ramamurthy1,
  2. H Evans2,
  3. A Evans1
  1. 1Department of Radiology, University Hospital of Wales, Heath Park, Cardiff, UK
  2. 2Department of Child Health, Southampton University Hospitals Trust, Southampton, Hampshire UK
  1. Correspondence to Dr Satheesh Ramamurthy, Department of Radiology, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK; Satheesh_ramamurthy{at}

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Plain chest radiograph is the primary imaging modality of choice in any child presenting with respiratory symptoms. Where there are findings suggestive of a superior mediastinal mass, a number of differential diagnoses should be considered. Findings, however, may be difficult to characterise from plain film imaging alone, and cross-sectional imaging plays a very important role in further investigation. We present a case that highlights these points as well as …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.