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Ultrasound may be more sensitive than chest X-rays in the identification of pneumothorax after blunt trauma to the chest. [35] Ultrasound may also provide a rapid diagnosis in other emergency situations, and allow the quantification of the size of the pneumothorax.
During inspiration, only subtle pneumothorax is seen in the apical part of the left thoracic cavity. It can practically be diagnosed only by the absence of vascularity in the most apical lung segment. It is seen more clearly posteriorly on lateral X-ray. During expiration, the pneumothorax takes up approximately 50% of the cavity.
A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in medicine.
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]
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 ]
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Other conditions that can produce similar symptoms include pericarditis, heart attack, cholecystitis, pulmonary embolism, and pneumothorax. [3] Diagnostic testing may include a chest X-ray, electrocardiogram (ECG), and blood tests. [3] [6] Treatment depends on the underlying cause. [3]
An X ray showing multiple old fractured ribs of the person's left side as marked by the oval: Specialty: Emergency medicine: Symptoms: Chest pain that is worse with breathing [1] Complications: Pulmonary contusion, pneumothorax, pneumonia [1] [2] Causes: Chest trauma, [2] disease, coughing [1] Diagnostic method: Based on symptoms, medical ...