Female 27 years old Reason: evaluate for possible pleural infection/empyema History: sob, malabsorption of csf in pleural space LUNGS AND PLEURA: There is right basal atelectasis and a small right pleural effusion with minimal loculation. The lung parenchyma is suboptimally evaluated on MRI. MEDIASTINUM AND HILA: Left sided central venous catheter with tip in the distal SVC.CHEST WALL: A ventriculopleural shunt tracks within the right anterior chest wall subcutaneous tissues, and traverses the right pleura terminating in the right lower pleural space.UPPER ABDOMEN: Incidental note is made of a small splenule.
A ventriculopleural shunt tracks within the right anterior chest wall subcutaneous tissues and terminates in the right lower pleural space within small adjacent atelectasis/minimally loculated right pleural effusion.