how to tell in this scenario which stage of empyema is this- exudative/fibropurulent/organized?
the presence of dull note clinically points towards effusion - exudative phase
Video assisted thoracoscopy and debridement of exudates
( had a doubt with option B too though…)
Insert an icd then send sample for culture and afb and cytology
Rest manage with antibiotics oxygen and treat the symptoms till reports come