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A chest X-ray, computed tomography (CT) scan, or ultrasound is usually used to confirm its presence. [5] Other conditions that can result in similar symptoms include a hemothorax (buildup of blood in the pleural space), pulmonary embolism, and heart attack. [2] [11] A large bulla may look similar on a chest X-ray. [3]
AP chest x-rays are harder to read than PA x-rays and are therefore generally reserved for situations where it is difficult for the patient to get an ordinary chest x-ray, such as when the patient is bedridden. In this situation, mobile X-ray equipment is used to obtain a lying down chest x-ray (known as a "supine film").
On chest x-ray, one lung will be significantly more inflated than the other, causing a mediastinal shift. Bullous emphysema's radiographic appearance on x-ray mimics a tension pneumothorax. This presents a medical challenge as these diseases are treated differently despite appearing similarly on x-ray. [24] [25]
The doctor injects a local anesthetic into the area of the chest wall outside where the fluid is. A plastic tube is then inserted into the chest between two ribs. The tube is connected to a box that suctions the fluid out. A chest x-ray is taken to check the tube's position. A chest tube is also used to drain blood and air from the pleural space.
Image shows early occurrence of tracheal deviation. Tracheal deviation is a clinical sign that results from unequal intrathoracic pressure within the chest cavity.It is most commonly associated with traumatic pneumothorax, but can be caused by a number of both acute and chronic health issues, such as pneumonectomy, atelectasis, pleural effusion, fibrothorax (pleural fibrosis), or some cancers ...
In radiology, the deep sulcus sign on a supine chest radiograph is an indirect indicator of a pneumothorax. [1] [2] In a supine film, it appears as a deep, lucent, ipsilateral costophrenic angle [3] within the nondependent portions of the pleural space as opposed to the apex (of the lung) when the patient is upright.
Catamenial pneumothorax is a spontaneous pneumothorax that recurs during menstruation, within 72 hours before or after the onset of a cycle. [1] It usually involves the right side of the chest and right lung, and is associated with thoracic endometriosis. [2] A third to a half of patients have pelvic endometriosis as well.
The diagnosis can be confirmed via chest X-ray showing a radiolucent outline around the heart and mediastinum or via CT scanning of the thorax. [ citation needed ] Pneumomediastinum and right sided pneumothorax post first rib fracture in a mountain biking accident.