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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 pneumothorax still present in apical portion of right lung field.  Previously depressed right hemidiaphragm now returned to normal position.  Note suture material in the middle lateral portions of right lung field, evidence of surgical intervention.
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MPX1263_synpic51776: Small pneumothorax still present in apical portion of right lung field. Previously depressed right hemidiaphragm now returned to normal position. Note suture material in the middle lateral portions of right lung field, evidence of surgical intervention.


Hydropneumothorax

Baran JPB - MedPix (2010)

Small pneumothorax still present in apical portion of right lung field.  Previously depressed right hemidiaphragm now returned to normal position.  Note suture material in the middle lateral portions of right lung field, evidence of surgical intervention.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1263_synpic51776: Small pneumothorax still present in apical portion of right lung field. Previously depressed right hemidiaphragm now returned to normal position. Note suture material in the middle lateral portions of right lung field, evidence of surgical intervention.

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.