74 yo male presents in severe respiratory distress and is intubated
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is complete white out on the left side.
Features are consistent with complete collapse of the left lung.
The trachea is deviated to the left and the right heart border is not visible suggesting mediastinal shift to the left.
*There is an ETT and NG tube in situ*
* Features are consistent with complete collapse of the left lung*
This can be caused by a sputum plug in the left main bronchus or endobronchial tumour.
Bronchoscopy may be diagnostic for microbiology but also therapeutic if there are retained secretions.
Other therapy for sputum plugging includes adequate hydration, intermittent positive pressure and chest physio.