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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.


An anterior chest tube was placed, the pneumothorax was reduced. This image was taken shortly after the removal of the chest tube. The patient was tachycardic, tachypneic, and hypotensive. Note the opacification of the left lung apex, shift of mediastinum to right, and bowing of the trachea to the right. The image demonstrates an acute hemothorax.
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MPX2391_synpic17894: An anterior chest tube was placed, the pneumothorax was reduced. This image was taken shortly after the removal of the chest tube. The patient was tachycardic, tachypneic, and hypotensive. Note the opacification of the left lung apex, shift of mediastinum to right, and bowing of the trachea to the right. The image demonstrates an acute hemothorax.


Pneumothorax

Sutcliffe JBS - MedPix

An anterior chest tube was placed, the pneumothorax was reduced. This image was taken shortly after the removal of the chest tube. The patient was tachycardic, tachypneic, and hypotensive. Note the opacification of the left lung apex, shift of mediastinum to right, and bowing of the trachea to the right. The image demonstrates an acute hemothorax.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2391_synpic17894: An anterior chest tube was placed, the pneumothorax was reduced. This image was taken shortly after the removal of the chest tube. The patient was tachycardic, tachypneic, and hypotensive. Note the opacification of the left lung apex, shift of mediastinum to right, and bowing of the trachea to the right. The image demonstrates an acute hemothorax.

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.