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CT chest showing large right sided hydro-pneumothorax from pleural empyema. Arrows A: air, B: fluid: Specialty: Pulmonology, cardiothoracic surgery Symptoms: Fever, chest pain with breathing in, cough, shortness of breath: Causes: Bacteria (often Strep. pneumonia) Diagnostic method: Chest X-ray, Ultrasound, CT scan, thoracentesis: Differential ...
In some lung diseases, especially emphysema, it is possible for abnormal lung areas such as bullae (large air-filled sacs) to have the same appearance as a pneumothorax on chest X-ray, and it may not be safe to apply any treatment before the distinction is made and before the exact location and size of the pneumothorax is determined. [15]
Large, right lower lobe pneumatocele is shown, compromising ventilation in a premature infant with RDS and superimposed RSV pneumonitis. A pneumatocele is a cavity in the lung parenchyma filled with air that may result from pulmonary trauma during mechanical ventilation. [1] Gas-filled, or air-filled lesions in bone are known as pneumocysts. [2]
Pneumothorax ex vacuo is a rare type of pneumothorax which forms adjacent to an atelectatic lobe. [1] It is seen preferentially with atelectasis of the right upper lobe and is the result of rapid atelectasis producing an abrupt decrease in the intrapleural pressure with subsequent release of nitrogen from pleural capillaries.
Left-sided pneumothorax (right side of image) on CT scan of the chest with chest tube in place. Medical uses of chest tube are as follows: [6] Pneumothorax: accumulation of air or gas in the pleural space; Pleural effusion: accumulation of fluid in the pleural space Chylothorax: a collection of lymph in the pleural space
These can be large enough to take up a third of a hemithorax, compress the lung parenchyma, and cause displacement. The emphysema is now termed giant bullous emphysema, more commonly called vanishing lung syndrome due to the compressed parenchyma. [28] A bleb or bulla may sometimes rupture and cause a pneumothorax. [17]
Massive right sided pleural effusion later confirmed to be a hemothorax. Hemothorax, or accumulation of blood in the pleural space, can result from trauma or surgical procedures in the chest. This accumulation of blood can grow large enough to compress the lung and push away other structures in the chest, thus causing a mediastinal shift. [6]
ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]