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Pneumothorax

Sutcliffe JBS - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Pneumothorax

History: Patient admitted originally for hemoptysis. She has a history of chronic lung disease and bronchiectasis. During the course of hospitalization, she required the introduction of a pacemaker.

Findings: Image 1 shows the pre-pacer portable cxr with evidence of chronic lung disease and scarring in both bases. Images 2,3, and 4 demonstrate the left medial pneumothorax which occurred during pacemaker placement. Image 5 demonstrates reduction of the pneumothorax by a small lumen anterioly placed chest catheter. Image 6 and 7 demonstrates acute left hemothorax which occurred immediately after removal of the chest catheter. Her left internal thoracic artery had been lacerated but tamponaded during chest tube insertion. Removal of the chest tube released the tamponade resulting in acute hemorrhage. Image 8 demonstrates successful embolization of the hemorrhage and introduction of a pigtail chest tube catheter to drain the hemothorax.

Ddx: Pneumopericardium Pneumomediastinum Pneumoperitoneum Large Bullae

Dxhow: Diagnosed with right lateral decubitus view and CT

No MeSH data available.


Immediate post-pacer placement. Note the increased lucency adjacent to the left side of the mediastinum and superior to the left diaphragm, which is inverted.
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MPX2391_synpic17890: Immediate post-pacer placement. Note the increased lucency adjacent to the left side of the mediastinum and superior to the left diaphragm, which is inverted.


Pneumothorax

Sutcliffe JBS - MedPix

Immediate post-pacer placement. Note the increased lucency adjacent to the left side of the mediastinum and superior to the left diaphragm, which is inverted.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2391&req=5

MPX2391_synpic17890: Immediate post-pacer placement. Note the increased lucency adjacent to the left side of the mediastinum and superior to the left diaphragm, which is inverted.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Pneumothorax

History: Patient admitted originally for hemoptysis. She has a history of chronic lung disease and bronchiectasis. During the course of hospitalization, she required the introduction of a pacemaker.

Findings: Image 1 shows the pre-pacer portable cxr with evidence of chronic lung disease and scarring in both bases. Images 2,3, and 4 demonstrate the left medial pneumothorax which occurred during pacemaker placement. Image 5 demonstrates reduction of the pneumothorax by a small lumen anterioly placed chest catheter. Image 6 and 7 demonstrates acute left hemothorax which occurred immediately after removal of the chest catheter. Her left internal thoracic artery had been lacerated but tamponaded during chest tube insertion. Removal of the chest tube released the tamponade resulting in acute hemorrhage. Image 8 demonstrates successful embolization of the hemorrhage and introduction of a pigtail chest tube catheter to drain the hemothorax.

Ddx: Pneumopericardium Pneumomediastinum Pneumoperitoneum Large Bullae

Dxhow: Diagnosed with right lateral decubitus view and CT

No MeSH data available.