Faces of Parapneumonic Effusion CT Parapneumonic Effusion – Empyema Thickened Pleura CT Parapneumonic Effusion – Empyema Thickened PleuraCT scan in a 76-year-old male shows a left lower lobe consolidation (b, white arrowhead) associated with a loculated parapneumonic effusion with trapped air bubbles (b yellow arrowhead) which was culture positive and a thickened enhancing pleuraAshley Davidoff MD TheCommonVein.net 136194cL