CXR Case 014

74 yo male presents in severe respiratory distress and is intubated

CXR CASE 014 LITFL

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*


CLINICAL CORRELATION

* 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.


CLINICAL PEARLS

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.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

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