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Pneumomediastinum, subcutaneous emphysema, pneumothorax, atelectasis
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MedPix Image - MedPix Case
Affiliation: Uniformed Services University
ABSTRACT
Diagnosis: Pneumomediastinum, subcutaneous emphysema, pneumothorax, atelectasis History: 67 y/o male s/p 3 vessel CABG. Findings: PA demonstrates sternal wiring. Mediastinal lucent lines from diaphram to aortic knob. Lucent line bilaterally midclavicular up through the soft tissue of the neck. LLL chest tube with lucent lines superiorly. Line peripherally in L lobe from the 5th rib inferiorly moving superior and medial to the 3rd rib superior to the aortic knob. There are lung marking inferior and to the line described with no lung archetecture superior to the line. Ddx: Subcutaneous emphysema/ Pneumomediastinum: 1. Baro trauma 2. ARDS 3. Alveolar rupture 4. Perforated viscus 5. Ruptured upper airway 6. Necrotizing fasciitis 7. Trauma 8. Surgery Dxhow: Plain film interpretation Exam: Crepitus in neck region and decreased breath sounds in L lung field. No MeSH data available. |
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MPX2566_synpic26492: Lateral of pt w/ subcu emphysema, pneumomediastinum, L pneumothorax and LLL atelectasis |
View Article: MedPix Image - MedPix Case
Affiliation: Uniformed Services University
Diagnosis: Pneumomediastinum, subcutaneous emphysema, pneumothorax, atelectasis
History: 67 y/o male s/p 3 vessel CABG.
Findings: PA demonstrates sternal wiring. Mediastinal lucent lines from diaphram to aortic knob. Lucent line bilaterally midclavicular up through the soft tissue of the neck. LLL chest tube with lucent lines superiorly. Line peripherally in L lobe from the 5th rib inferiorly moving superior and medial to the 3rd rib superior to the aortic knob. There are lung marking inferior and to the line described with no lung archetecture superior to the line.
Ddx: Subcutaneous emphysema/ Pneumomediastinum: 1. Baro trauma 2. ARDS 3. Alveolar rupture 4. Perforated viscus 5. Ruptured upper airway 6. Necrotizing fasciitis 7. Trauma 8. Surgery
Dxhow: Plain film interpretation
Exam: Crepitus in neck region and decreased breath sounds in L lung field.
No MeSH data available.
