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Obstructive atelectasis

Long JRL - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Obstructive atelectasis

History: Status post fall from three stories, intubated upon arrival to the ED.

Findings: The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina. An enteric tube is also noted. No pneumothorax is present. The follow up portable CXR (one hour later) demonstrates interval drawback of the endotracheal tube tip to an appropriate position with interval resolution of the perviously seen opacification and mediastinal shift.

Ddx: *Obstructive atelectasis of nearly the entire left lung. *Large pneumonia (less likely given leftward mediastinal shift) *Large pleural effusion (although much less likely given ETT location and again, leftward shift of the mediastinum)

Dxhow: The findings of the initial film were discussed with the treating physician and the tube was drawn back, at which time ascultation demonstrated bilaterally symmetric breath sounds. Follow up radiograph 30 minutes later confirms atelectasis as the etiology given the short interval of resolution.

No MeSH data available.


The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina.  An enteric tube is also noted.  No pneumothorax is present.
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MPX1225_synpic37118: The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina. An enteric tube is also noted. No pneumothorax is present.


Obstructive atelectasis

Long JRL - MedPix (2007)

The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina.  An enteric tube is also noted.  No pneumothorax is present.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1225&req=5

MPX1225_synpic37118: The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina. An enteric tube is also noted. No pneumothorax is present.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Obstructive atelectasis

History: Status post fall from three stories, intubated upon arrival to the ED.

Findings: The initial portable CXR demonstrates near complete opacification of the left hemithorax with leftward shift of the mediastinum and the tip of the endotracheal tube at the level of the carina. An enteric tube is also noted. No pneumothorax is present. The follow up portable CXR (one hour later) demonstrates interval drawback of the endotracheal tube tip to an appropriate position with interval resolution of the perviously seen opacification and mediastinal shift.

Ddx: *Obstructive atelectasis of nearly the entire left lung. *Large pneumonia (less likely given leftward mediastinal shift) *Large pleural effusion (although much less likely given ETT location and again, leftward shift of the mediastinum)

Dxhow: The findings of the initial film were discussed with the treating physician and the tube was drawn back, at which time ascultation demonstrated bilaterally symmetric breath sounds. Follow up radiograph 30 minutes later confirms atelectasis as the etiology given the short interval of resolution.

No MeSH data available.