We are excited to bring you another #RadiologyRounds which applies some of the knowledge from our most recent episode.
A patient in her 20s presents with shortness of breath at rest, left sided pleuritic chest pain and increase in cough and sputum production.
In addition to underlying parenchymal disease, what other abnormality do you see?
She is presenting with a 1.5 cm left pneumothorax. You can see lucency representing air in the pleural space. There are a lack of blood vessels or lung markings extending to the periphery and you can see the visceral pleura.
How would you characterize the patient's pneumothorax?
She is presenting with a small secondary spontaneous pneumothorax. She is hemodynamically stable and is not requiring oxygen. How would you approach management in this patient?
She is presenting with her first pneumothorax which is a small, spontaneous pneumothorax secondary to her underlying cystic lung disease. She was managed conservatively and followed closely outpatient with ultimate resolution of her pneumothorax.
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Our last few #PulmPEEPs radiology rounds have been CT-centric, so today we’re going back to some useful CXR signs!
Our patient is admitted to the ICU for hypoxemia and has poor compliance and low P:F ratio after intubation
2/ On reviewing the CXR there is concern for lobar collapse in the ________ lobe
The patient has RUL collapse and a Reverse S Sign or Golden S Sign raising concern for a mass or space occupying lesion obstructing the right upper lobe bronchus
Welcome to the first #PulmPEEPs radiology rounds of 2022!
You are concerned for diffuse alveolar infiltrates on chest x-ray and you obtain a CT chest for better parenchymal visualization. How would you best describe the imaging findings on CT chest?
The CT chest shows bilateral areas of ground-glass opacities with both intralobular and interlobular septal thickening.
1/ It’s Pulm PEEPs Tuesday and times for another Radiology Rounds!
2/ How would you describe the CXR findings?
3/ The CXR has diffuse alveolar infiltrates worse on the right side. There is also loss of the left costophrenic angle and a possible pleural effusion there.
The patient worsened with increased coughing and more blood tinged sputum.