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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.


CT through the mid-thorax demonstrates a blood density fluid collection in the left chest, compressing the left lung. White arrowheads demonstrate the border of the hemothorax with lung. White arrows demonstrate the interface between the left side of the aortic arch and the hemothorax. The hemothorax resulted from a laceration of the left interal mammary artery as a complication of chest tube placement.
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MPX2391_synpic17895: CT through the mid-thorax demonstrates a blood density fluid collection in the left chest, compressing the left lung. White arrowheads demonstrate the border of the hemothorax with lung. White arrows demonstrate the interface between the left side of the aortic arch and the hemothorax. The hemothorax resulted from a laceration of the left interal mammary artery as a complication of chest tube placement.


Pneumothorax

Sutcliffe JBS - MedPix

CT through the mid-thorax demonstrates a blood density fluid collection in the left chest, compressing the left lung. White arrowheads demonstrate the border of the hemothorax with lung. White arrows demonstrate the interface between the left side of the aortic arch and the hemothorax. The hemothorax resulted from a laceration of the left interal mammary artery as a complication of chest tube placement.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2391_synpic17895: CT through the mid-thorax demonstrates a blood density fluid collection in the left chest, compressing the left lung. White arrowheads demonstrate the border of the hemothorax with lung. White arrows demonstrate the interface between the left side of the aortic arch and the hemothorax. The hemothorax resulted from a laceration of the left interal mammary artery as a complication of chest tube placement.

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.