September 1958

Loculated Interlobar Effusion Associated with Pericarditis

AMA Arch Intern Med. 1958;102(3):447-449. doi:10.1001/archinte.1958.00030010447016

Several reports of loculated pleural effusion due to congestive heart failure or the "vanishing tumor" of the lung have appeared in the literature. From a review of the literature, Higgins and co-workers1 considered 41 cases as authentic, and 5 others have since been added.2,3 One instance of pericardial effusion which disappeared along with the interlobar fluid following diuresis (Kiser,4 cited by Higgins1) and another, of acute and chronic pericarditis with leukemic infiltration of the serosa of the heart,5 have been noted. Two cases of interlobar effusion associated with pericarditis are reported.

Report of Cases  Case 1.—A 25-year-old woman was admitted on Feb. 7, 1957, with a history of exertional dyspnea for one year, palpitation for six months, and irregular fever and precordial discomfort for six weeks. Because of a band-like density in the right lung in a roentgenogram she had had antituberculous therapy for the past one month. As acid-fast bacilli