Diffuse opacification throughout the left lower lobe and to a lesser extent in the lingula
Moderate-sized left pleural effusion
Normal size and configuration of the cardiopericardial silhouette
Findings consistent with pneumonia in the left lower lobe and lingula with a moderate-sized left pleural effusion. Consider chest ultrasound to assess for evidence of empyema.
A focal opacity in a patient with respiratory symptoms is concerning for pneumonia
Anytime you see a pleural collection in a patient with pneumonia, look closely for loculation or gas, which would raise concern for an empyema. Ultrasound is the next best step if there is concern for empyema
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