16 year old male with severe burns to 40% of his body surface
Describe and interpret this CXR
CHEST X-RAY INTERPRETATION
There is bilateral multifocal airspace opacification, mainly in the perihilar and lower zones.
* There are four large bore chest tubes in situ *
* There is an ETT, NGT and right subclavian vascular line *
* The multiple metallic artifacts are burns dressings*
Acute respiratory distress syndrome (ARDS) can develop as a result of systemic inflammation or in this case may be related to inhalation injury.
Secondary pneumothorax from barotrauma and lung parenchymal and pleural necrosis are well recognized.
ARDS has a mortality rate approaching 50%.
* Survivors are often left with chronic lung disease, with healing by fibrosis.*