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Case: Pneumothorax

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So this is a zero day old infant just born,

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but does have an endotracheal tube.

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So this was a patient who was born premature

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and, um, has respiratory distress

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and the pertinent findings here,

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of course there are opacities diffusely throughout the

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lungs, but the finding to note here is pneumothorax.

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So on the left we see this abnormal pneumothorax, um,

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manifested as a deep sulcus sign in this, uh,

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at this left inferior chest.

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Plus we see this abnormal lucency spro laterally.

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On the, on the left here,

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on the right we have pneumothorax component as well.

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So we have anterior pleural gas, um, projecting over the,

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um, the, uh, uh, anterior

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and medial aspect of the right chest.

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So this is bilateral pneumothoraces in a patient

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with lung disease of prematurity

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and who is intubated on the cross table lateral view.

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You can, you can see the pneumothorax is confirmed.

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So we see our endotracheal tube extending just

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beyond the level of thoracic inlet.

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We have, uh, mostly anterior component of pneumothorax

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as noted by this increased retrosternal lucency.

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We also see this inferior component of pneumothorax on this,

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uh, cross table lateral view

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to confirm the supine frontal view findings.

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Faculty

Judy H. Squires, MD

Associate Professor of Radiology

UPMC Children's Hospital of Pittsburgh

Tags

X-Ray (Plain Films)

Pleural

Pediatrics

Neonatal

Lungs

Chest

Acquired/Developmental