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Trapped lung presents as pleural thickening and loculation without clinically active disease (Figure 20).
The fibrinopurulent phase (4-14 days) is characterized by accelerated fibrin deposit, becomes purulent leading to empyema and loculations and the organizing stage (after 14 days) is characterized by thickened pleura, producing an inelastic membrane "the peel", which restricts lung movement termed as trapped lung.
7) Drainage by surgical procedures, like decortication, decortication plus lobectomy are the preferred treatment to reduce the postoperative morbidity and for an early expansion of trapped lung.