Hello Abhishek ji,
The HRCT report suggests the presence of a loculated left pleural effusion, which is fluid accumulation in the pleural space around the lungs, associated with thickened parietal and visceral pleura on the left side. This is indicative of empyema, a condition where the pleural fluid becomes infected, often following pneumonia or other lung infections. Additionally, fibro-parenchymal strands in the left lower lung suggest previous scarring or fibrosis, possibly from a past infection or inflammation.
Treatment usually involves draining the pleural fluid (via thoracentesis or chest tube) and antibiotic therapy to treat the infection. In some cases, surgical intervention may be needed. It's important to follow up with a pulmonologist or a chest specialist for further evaluation and management, including the potential need for drainage or further imaging.