EURORAD ESR

Case 1373

Tension pneumothorax

Author(s)
K Mitra, V Prabhudesai, T Z Win, NA Watson
 
Patient
female, 50 year(s)
 
 
  • Published 21.10.2002
  • DOI 10.1594/EURORAD/CASE.1373
  • Section Chest Imaging
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 9108
  • Language(s)
  • Figure 1
    Admission chest X-ray

    Frontal chest X-ray showing a right-sided pneumothorax. Although the amount of air in the pleural cavity appears relatively insignificant, note the depression of the right hemidiaphragm and tethering of the pleura....

     
    Area of Interest: unknown; Imaging Technique: Admission chest X-ray;
     
     
  • Figure 2
    Axial CT of the chest with lung windows
     

    Image through the apex showing a large pneumothorax.

     
    Area of Interest: unknown; Imaging Technique: Axial CT of the chest with lung windows;

    Scan through the hilum shows tethering of the visceral pleura, which disguises the extent of the condition.

     
    Area of Interest: unknown; Imaging Technique: Axial CT of the chest with lung windows;

    Image through the base showing similar tethering and depression of the right hemidiaphragm. (Left hemidiaphragm seen at this level.)

     
    Area of Interest: unknown; Imaging Technique: Axial CT of the chest with lung windows;
     
     
  • Figure 3
    Post-drainage chest CT
     

    Drain in situ with almost complete re-expansion of the lung.

     
    Area of Interest: unknown; Imaging Technique: Post-drainage chest CT;

    Image through the hilum shows re-expansion.

     
    Area of Interest: unknown; Imaging Technique: Post-drainage chest CT;
     
     
Frontal chest X-ray showing a right-sided pneumothorax. Although the amount of air in the pleural cavity appears relatively insignificant, note the depression of the right hemidiaphragm and tethering of the pleura. The presence of the former suggests tension.
 
Image through the apex showing a large pneumothorax.
 
Scan through the hilum shows tethering of the visceral pleura, which disguises the extent of the condition.
 
Image through the base showing similar tethering and depression of the right hemidiaphragm. (Left hemidiaphragm seen at this level.)
 
Drain in situ with almost complete re-expansion of the lung.
 
Image through the hilum shows re-expansion.
 
 
 
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