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Radiology Case 6

Home Radiology Case 6

ICU rad_pic

By Oli Flower

These are images from real ICU patients. The stories and details are changed to preserve confidentiality.

[su_tabs][su_tab title=”History”]

70 year old man 2 days after cardiothoracic surgery

His chest drains were removed earlier in the day

An AP semi erect chest X-ray is taken

[/su_tab][su_tab title=”Image”]

CXR QUESTION
[/su_tab][su_tab title=”Answer”]

The blue arrows show a band of linear atlectasis that at first glance gives the appearance of air under the diaphragm

This was not the case as became evident in subsequent films

This distracts from a more important diagnosis: a pneumothorax (red arrows)

There was no respiratory compromise and the pneumothorax was managed conservatively

CXR ANSWER

[/su_tab][su_tab title=”More Resources”]

British Thoracic Society Guidelines on Management of Pneumothorax

Lots of great pneumothorax images

A video showing one approach to inserting a formal chest drain for a pneumothorax

A video showing a Seldinger technique for insertion of a chest drain

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