Medical Imaging of Pneumothorax (PNO)–FIGURES 2-Walif Chbeir

Download Medical Imaging of Pneumothorax (PNO)–FIGURES 2-Walif Chbeir

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  • Edited on September 30, 2016

    PNO Figures 2

    Oblique lateral. There is a knife projected through the right scapula between the

    posterolateral right third and fourth ribs extending into the right thorax with an

    associated large pneumothorax.

  • Decubitus. There is a knife projected through the right scapula between the posterolateral right

    third and fourth ribs extending into the right thorax with an associated large pneumothorax.

    Case courtesy of Dr Paul Simkin, Radiopaedia.org. From the

    case rID: 30454

  • Large right pneumothorax. Small pleural effusion.

  • After expiration. Large right pneumothorax. Small pleural effusion.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the

    case rID: 27798

  • Right pneumothorax. Pleural reflection indicated by the arrows.

    Case courtesy of Dr M Osama Yonso, Radiopaedia.org. From

    the case rID: 18975

  • Large left sided pneumothorax (7 cm at level of left hilum) with collapse of left lung

    structures. Some mediastinal divergence from midline - possible tension pneumothorax. Right

    lung clear.

    Case courtesy of Dr Derek Smith, Radiopaedia.org. From the

    case rID: 37132

  • Pneumothorax mimic - skin fold. Linear abnormality nearly parallel to the right chest wall

    extending from base to apex. Lung marks are evident peripheral to this line, implying this is not

    air in the pleural space.

    Case courtesy of Dr Ian Bickle, Radiopaedia.org. From the case

    rID: 26496

  • Tension PNO. Chest x-ray demonstrates a large left sided pneumothorax. The lung is almost

    completely collapsed, and there is shift of the mediastinum towards the right.

    Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 10558

  • Tension pneumothorax

    Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org. From the case

    rID: 10970

  • Tension pneumothorax mimic due to right lower lobe hypoplasia. Fig1. Left pneumothorax.

    Mediastinal shift towards right, depression of left hemidiaphragm, concerning for tension

    pneumothorax.

  • Chest radiograph prior to pacemaker insertion (previous day). Rightward mediastinal shift.

    Defibrillation pad noted. No pneumothorax. Comparison radiographs - previous day (with

    defibrillator pad) and 10 years previous

    Case courtesy of Dr Brendon Friesen, Radiopaedia.org. From

    the case rID: 30073

  • A pneumothorax in a supine patient demonstrated by deep sulcus sign on the right.

    Case courtesy of Dr Hani Al Salam, Radiopaedia.org. From the

    case rID: 13262

  • Right sided pneumothorax with pleural line seen laterally and well-defined right

    hemidiaphragm. Differences in opacity between the right and left hemithorax are exacerbated

    by grid cut-off artefact.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the

    case rID: 27794

  • Subcutaneous emphysema is seen in the right lower chest wall along with rib fractures of 4th to

    6th right lateral rib fractures. The right hemidiaphragm has a crisp outline which is suggestive

    of a pneumothorax. Right upper zone consolidation. The left lung is clear. Cardiomediastinal

    contour is within normal limits for the projection.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the

    case rID: 31381

  • Supine tension pneumothorax. Large right pneumothorax with mediastinal shift to the left

    indicating significant tension. ETT is in a satisfactory position.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the

    case rID: 39435

  • Loculated pneumothorax due to pleural adhesions. Apical lung bullae or blebs that

    predispose to spontaneous pneiumothorax. These blebs are not on the background of bullous

    emphysema.

    Case courtesy of Dr Chris O'Donnell, Radiopaedia.org. From

    the case rID: 19792

  • Large right pneumothorax. Small pleural effusion.

  • After expiration. Large right pneumothorax. Small pleural effusion.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the case rID: 27798

    Right pneumothorax. Pleural reflection indicated by the arrows.

    Case courtesy of Dr M Osama Yonso, Radiopaedia.org. From the case rID: 18975

    Large left sided pneumothorax (7 cm at level of left hilum) with collapse of left lung structures. Some mediastinal

    divergence from midline - possible tension pneumothorax. Right lung clear.

    Case courtesy of Dr Derek Smith, Radiopaedia.org. From the case rID: 37132

    Pneumothorax mimic - skin fold. Linear abnormality nearly parallel to the right chest wall extending from base to apex.

    Lung marks are evident peripheral to this line, implying this is not air in the pleural space.

    Case courtesy of Dr Ian Bickle, Radiopaedia.org. From the case rID: 26496

  • Tension PNO. Chest x-ray demonstrates a large left sided pneumothorax. The lung is almost completely collapsed, and

    there is shift of the mediastinum towards the right.

    Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 10558

    Tension pneumothorax

    Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org. From the case rID: 10970

    Tension pneumothorax mimic due to right lower lobe hypoplasia. Fig1. Left pneumothorax. Mediastinal shift towards

    right, depression of left hemidiaphragm, concerning for tension pneumothorax.

    Chest radiograph prior to pacemaker insertion (previous day). Rightward mediastinal shift. Defibrillation pad noted. No

    pneumothorax. Comparison radiographs - previous day (with defibrillator pad) and 10 years previous

    Case courtesy of Dr Brendon Friesen, Radiopaedia.org. From the case rID: 30073

  • A pneumothorax in a supine patient demonstrated by deep sulcus sign on the right.

    Case courtesy of Dr Hani Al Salam, Radiopaedia.org. From the case rID: 13262

    Right sided pneumothorax with pleural line seen laterally and well-defined right hemidiaphragm. Differences in opacity

    between the right and left hemithorax are exacerbated by grid cut-off artefact.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the case rID: 27794

    Subcutaneous emphysema is seen in the right lower chest wall along with rib fractures of 4th to 6th right lateral rib

    fractures. The right hemidiaphragm has a crisp outline which is suggestive of a pneumothorax. Right upper zone

    consolidation. The left lung is clear. Cardiomediastinal contour is within normal limits for the projection.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the case rID: 31381

  • Supine tension pneumothorax. Large right pneumothorax with mediastinal shift to the left indicating significant tension.

    ETT is in a satisfactory position.

    Case courtesy of Dr Henry Knipe, Radiopaedia.org. From the case rID: 39435

    Loculated pneumothorax due to pleural adhesions. Apical lung bullae or blebs that predispose to spontaneous

    pneiumothorax. These blebs are not on the background of bullous emphysema.

    Case courtesy of Dr Chris O'Donnell, Radiopaedia.org. From the case rID: 19792

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