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Hydropneumothorax

Baran JPB - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hydropneumothorax

History: 44 year old woman presented to her primary care provider complaining of a sudden onset of right sided chest pain for past 24 hours. The pain was non-exertional in nature and worsened upon inspiration, with radiation to the right shoulder and neck. PMHx: IgA nephropathy diagnosed in 2004, stage 3 CKD, anemia secondary to CKD, SAR, HTN, fibrodenoma of breast PSHx: excisional biopsy of breast fibroadenoma SocHx: life long non-smoker

Findings: • Initial PA and Lat CXR: -Right lung with large pneumothorax; mildly depressed right hemidiaphragm -Small air fluid level at right lung base at CP angle -No midline shift, left lung normal • Follow up PA and Lat CXR 3 weeks later: -Right sided apical pneumothorax decreased in size from previous study. -Right hemidiaphragm returned to normal position -Suture material noted -No focal consolidation or pleural effusion

Ddx: • Spontaneous hydropneumothorax • Bronchopleural fistula • Catamenial pneumothorax with hemorrhage • Penetrating chest trauma

Exam: Vitals: Afebrile, HR 84 BP 107/65, RR 18, SaO2 99% on RA Exam: NAD, lungs CTAB, CV RRR no m/r/g. Rest of exam non-contributory. WBC: 5.8 Hb 10.4 Hct 31.5 plt 257

No MeSH data available.


Small pleural effusion visible at posterior CP angle
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MPX1263_synpic51775: Small pleural effusion visible at posterior CP angle


Hydropneumothorax

Baran JPB - MedPix (2010)

Small pleural effusion visible at posterior CP angle
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1263&req=5

MPX1263_synpic51775: Small pleural effusion visible at posterior CP angle

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hydropneumothorax

History: 44 year old woman presented to her primary care provider complaining of a sudden onset of right sided chest pain for past 24 hours. The pain was non-exertional in nature and worsened upon inspiration, with radiation to the right shoulder and neck. PMHx: IgA nephropathy diagnosed in 2004, stage 3 CKD, anemia secondary to CKD, SAR, HTN, fibrodenoma of breast PSHx: excisional biopsy of breast fibroadenoma SocHx: life long non-smoker

Findings: • Initial PA and Lat CXR: -Right lung with large pneumothorax; mildly depressed right hemidiaphragm -Small air fluid level at right lung base at CP angle -No midline shift, left lung normal • Follow up PA and Lat CXR 3 weeks later: -Right sided apical pneumothorax decreased in size from previous study. -Right hemidiaphragm returned to normal position -Suture material noted -No focal consolidation or pleural effusion

Ddx: • Spontaneous hydropneumothorax • Bronchopleural fistula • Catamenial pneumothorax with hemorrhage • Penetrating chest trauma

Exam: Vitals: Afebrile, HR 84 BP 107/65, RR 18, SaO2 99% on RA Exam: NAD, lungs CTAB, CV RRR no m/r/g. Rest of exam non-contributory. WBC: 5.8 Hb 10.4 Hct 31.5 plt 257

No MeSH data available.