CXR Case 087

A 67 yo lady is transferred from St Elsewhere in respiratory distress

CXR CASE 087 CXR LITFL

Describe and interpret this CXR

CHEST X-RAY INTERPRETATION

There is collapse and consolidation of the left lung, with tracheal and mediastinal deviation.

* There is a large bore chest drain in situ toward the left apex and surgical emphysema on the left side.


CLINICAL CORRELATION

This lady has pneumonia and a secondary pneumothorax.


CLINICAL PEARLS

There is no RCT evidence that large bore drains are any more useful in pneumothorax than smaller bore (e.g. 12-14F).

*They are, however, proven to hurt a lot more during insertion and afterwards.


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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