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imaging of hydropneumothorax

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https://www.readbyqxmd.com/read/27780515/kirschner-wire-migration-from-subcapital-humeral-fracture-site-causing-hydropneumothorax
#1
Balaji Zacharia, Kishor Puthezhath, Ibin Varghees
Migration of wires or pins around the shoulder is a known complication, though their migration within the chest is uncommon. We report an unusual case of hydropneumothorax due to migration of a bent Kirschner wire from the right proximal humerus in a 63 year-old man. We reviewed his clinical history, physical examination, imaging findings, surgical method and outcome. We also reviewed the literature on orthopaedic wire migration and latest technique in removal of the wires. Chest radiographs and chest computerized tomography are useful in detection and diagnosis of this disorder...
October 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27556194/sonographic-findings-of-hydropneumothorax
#2
Joel Anthony Nations, Patrick Smith, Scott Parrish, Robert Browning
Ultrasound is increasingly being used in examination of the thorax. The sonographic features of normal aerated lung, abnormal lung, pneumothorax, and intrapleural fluid have been published. The sonographic features of uncommon intrathoracic syndromes are less known. Hydropneumothorax is an uncommon process in which the thoracic cavity contains both intrapleural air and water. Few published examples of the sonographic findings in hydropneumothorax exist. We present 3 illustrative cases of the sonographic features of hydropneumothorax with comparative imaging and a literature review of the topic...
September 2016: Ultrasound Quarterly
https://www.readbyqxmd.com/read/27489758/recurrent-hydropneumothorax-an-unusual-presentation-for-malignant-pleural-mesothelioma
#3
David DeLapp, Christopher Chan, Perry Nystrom
Mesothelioma is a rare pulmonary malignancy commonly associated with asbestos exposure. Its presentation is insidious and non-specific, with complaints of chest pain, dyspnea and cough. Chest X-ray may demonstrate unilateral pleural effusion. CT and PET scans may highlight nodular pleural plaques. Diagnosis often times is difficult with negative imaging and negative pleural fluid studies. In rare cases, hydropneumothoraces may be seen. We report a case of malignant pleural mesothelioma presenting as recurrent hydropneumothorax with negative CT scan of the chest for pleural abnormalities and negative pleural fluid studies...
2016: Respiratory Medicine Case Reports
https://www.readbyqxmd.com/read/26957917/broncho-pleural-fistula-with-hydropneumothorax-at-ct-diagnostic-implications-in-mycobacterium-avium-complex-lung-disease-with-pleural-involvement
#4
Hyun Jung Yoon, Myung Jin Chung, Kyung Soo Lee, Jung Soo Kim, Hye Yun Park, Won-Jung Koh
OBJECTIVE: To determine the patho-mechanism of pleural effusion or hydropneumothorax in Mycobacterium avium complex (MAC) lung disease through the computed tomographic (CT) findings. MATERIALS AND METHODS: We retrospectively collected data from 5 patients who had pleural fluid samples that were culture-positive for MAC between January 2001 and December 2013. The clinical findings were investigated and the radiological findings on chest CT were reviewed by 2 radiologists...
March 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/25946304/images-in-clinical-medicine-trapped-lung
#5
Jeffrey Albores, Tisha Wang
A 46-year-old woman with end-stage liver disease that was complicated by recurrent hepatic hydrothorax requiring multiple thoracenteses presented with breathlessness. Chest examination found no breath sounds on the right side. Radiography of the chest revealed a hydropneumothorax (Panel A; the..
May 7, 2015: New England Journal of Medicine
https://www.readbyqxmd.com/read/25408660/pulmonary-fibrosis-secondary-to-folfox-chemotherapy-a-case-report
#6
Wai Cheong Soon, Kate West, David Gibeon, Elizabeth Frances Bowen
A 54-year-old female presented with a 2-week history of increasing shortness of breath and fever. She had a history of a poorly differentiated sigmoid adenocarcinoma for which she underwent an anterior resection 6 months prior to admission, followed by 12 cycles of adjuvant FOLFOX chemotherapy. The patient was treated for a severe community-acquired pneumonia; however, she remained hypoxic. A chest CT revealed extensive right-sided fibrotic changes, tractional dilatation of the airways and ground glass density, which had developed since a staging CT scan performed 2 months previously...
September 2014: Case Reports in Oncology
https://www.readbyqxmd.com/read/25334505/bronchocutaneous-fistula-as-a-rare-complication-of-tube-thoracostomy
#7
Yl Erica Leung, Samuel Lee
Pleural Disease Global Case ReportsSESSION TYPE: Global Case ReportPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Tube thoracostomy is a commonly performed procedure for the chest physician. We report a case of bronchocutaneous fistula (BCF) that developed as a result of tube thoracostomy to heighten awareness of this rare complication.CASE PRESENTATION: A 59 year-old male patient with a past history of severe chronic obstructive pulmonary disease requiring long term oxygen therapy was admitted for sudden onset of shortness of breath...
October 1, 2014: Chest
https://www.readbyqxmd.com/read/24355346/unusual-new-signs-of-pneumothorax-at-lung-ultrasound
#8
Giovanni Volpicelli, Enrico Boero, Valerio Stefanone, Enrico Storti
BACKGROUND: The diagnosis of pneumothorax with a bedside lung ultrasound is a powerful methodology. The conventional lung ultrasound examination consists of a step-by-step procedure targeted towards the detection of four classic ultrasound signs, the lung sliding, the B lines, the lung point and the lung pulse. In most cases, a combination of these signs allows a safe diagnosis of pneumothorax. However, the widespread application of sonographic methodology in clinical practice has brought out unusual cases which raise new sonographic signs...
2013: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/23986612/inadvertent-chest-tube-insertion-in-congenital-cystic-adenomatoid-malformation-and-congenital-lobar-emphysema-highlighting-an-important-problem
#9
Shailesh M Prabhu, Subhasis Roy Choudhury, Ravi S Solanki, Gurucharan S Shetty, Surenderkumar Agarwala
BACKGROUND: Chest tube insertion in congenital cystic lung lesions is an important problem in children with acute respiratory distress having a cystic lucent lesion on chest radiograph. OBJECTIVE: To evaluate the imaging findings and complications in cases of congenital cystic lung lesions with chest tube insertion and suggest the role of appropriate imaging for management of these patients. MATERIALS AND METHODS: Chest radiographs and CT scans of children with congenital cystic lung lesions who had inadvertent chest tube insertion preoperatively were retrospectively reviewed for imaging appearances and complications...
January 2013: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/23699339/crouching-tiger-hidden-dragon-malignant-pleural-mesothelioma-as-a-culprit-for-recurrent-spontaneous-pneumothorax-and-hydropneumothorax
#10
Mihir Patel, Hetvi Joshi, Jayantilal Mehta
SESSION TYPE: Cancer Student/Resident Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: Spontaneous pneumothorax can be caused by lung tissue weakness - rupture of thin cysts called blebs on lung surface. Chest pain, dyspnea and occasionally palpitations are classical symptoms of pneumothorax but it can also present silently.CASE PRESENTATION: A 58 year old Caucasian male working as a chemical engineer presented with palpitations and rapid heart rate of 190 per minute which was resolved with valsalva maneuver in ER...
October 1, 2012: Chest
https://www.readbyqxmd.com/read/23288127/pleural-endometriosis-findings-on-magnetic-resonance-imaging
#11
Edson Marchiori, Gláucia Zanetti, Rosana Souza Rodrigues, Luciana Soares Souza, Arthur Soares Souza Junior, Flávia Angélica Ferreira Francisco, Bruno Hochhegger
Endometriosis is a benign gynecological disorder associated with pelvic pain and infertility, primarily affecting women of reproductive age. Thoracic endometriosis affects the pulmonary parenchyma or pleura. We report the cases of two patients with pleural endometriosis who presented with recurrent pneumothorax. In both cases, magnetic resonance imaging (MRI) of the chest showed right hydropneumothorax and well-defined, rounded nodules on the pleural surface in the right hemithorax. We conclude that MRI is a good option for the characterization of pleural endometriotic nodules and hemorrhagic pleural effusion...
November 2012: Jornal Brasileiro de Pneumologia: Publicaça̋o Oficial da Sociedade Brasileira de Pneumologia e Tisilogia
https://www.readbyqxmd.com/read/22084548/spontaneous-esophageal-pleural-fistula
#12
Sameer Vyas, Mahesh Prakash, Lileshwar Kaman, Nidhi Bhardwaj, Niranjan Khandelwal
Spontaneous esophageal-pleural fistula (EPF) is a rare entity. We describe a case in a middle-aged female who presented with severe retrosternal chest pain and shortness of breadth. Chest computed tomography showed right EPF and hydropneumothorax. She was managed conservatively keeping the chest tube drainage and performing feeding jejunostomy. A brief review of the imaging finding and management of EPF is discussed.
October 2011: Lung India: Official Organ of Indian Chest Society
https://www.readbyqxmd.com/read/21333511/anatomical-changes-after-pneumonectomy
#13
Ivonne Bazwinsky-Wutschke, Friedrich Paulsen, Dietrich Stövesandt, Hans-Jürgen Holzhausen, Hans-Joachim Heine, Elmar Peschke
Pneumonectomy is associated with many diverse post-operative conditions, e.g. hydropneumothorax, diaphragm elevation, progressive mediastinal displacement, thorax wall deformation, and hydrothorax. By means of imaging procedures, such pneumonectomy-related anatomical changes can easily be determined; here we summarize some of the common diagnostic findings and in addition report the case of a 100-year-old woman, who underwent left pneumonectomy at the age of 47, survived for another 53 years with only one lung and then became body donor to our department...
March 2011: Annals of Anatomy, Anatomischer Anzeiger: Official Organ of the Anatomische Gesellschaft
https://www.readbyqxmd.com/read/19726372/-radiographic-diagnosis-of-traumatic-bronchial-rupture
#14
Yong-Sheng Zhou, Jin-Quan Su, Chun-Xia Wang, Ting Song
OBJECTIVE: To study the X-ray and CT findings of traumatic bronchial rupture for early radiographic diagnosis and treatment. METHODS: The chest plain X-ray films and CT images of 21 patients with traumatic bronchial rupture confirmed by operations or bronchoscopy were retrospectively analyzed. RESULTS: The main radiographic findings of traumatic bronchial rupture included interrupted tracheobronchial air column, atelectasis, lung ptosis, pneumomediastinum and subcutaneous emphysema, pneumothorax or hydropneumothorax...
June 2009: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/19461404/spontaneous-pneumothorax-and-lung-carcinoma-should-one-consider-synchronous-malignant-pleural-mesothelioma
#15
Trevor A Flood, Harman S Sekhon, Jean M Seely, Farid M Shamji, Marcio M Gomes
We describe the clinical and pathologic findings of a 68-year-old smoker with previous asbestos exposure who presented with spontaneous hydropneumothorax and was diagnosed with synchronous undifferentiated lung carcinoma and incidental malignant pleural mesothelioma. The synchronous occurrence of these two neoplasms is an extremely rare event with fewer than 20 reported cases in the English literature. The accurate diagnosis of synchronous tumors can be extremely challenging and the identification of a concomitant mesothelioma in our case was not made until an extensive immunohistochemical analysis was done on the resection specimen...
June 2009: Journal of Thoracic Oncology
https://www.readbyqxmd.com/read/19302871/an-unusual-presentation-of-a-fourth-pharyngeal-arch-branchial-cleft-sinus
#16
Lucas Neff, Daniel Kirse, Thomas Pranikoff
Fourth pharyngeal arch (branchial cleft) sinuses and fistulas are a rare cause of recurrent neck abscesses presenting in the first 2 decades of life. Because they are uncommon, the diagnosis and subsequent treatment can be delayed, even with proper radiographic imaging and clinical evaluation. This case illustrates a life-threatening presentation of a ruptured fourth branchial cleft sinus with extravasation into the mediastinum, chest, and abdomen.
March 2009: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/19234284/imaging-of-lung-transplantation-review
#17
REVIEW
Yuen Li Ng, Narinder Paul, Demetris Patsios, Anna Walsham, Tae-Bong Chung, Shaf Keshavjee, Gordon Weisbrod
OBJECTIVE Lung transplantation is an established treatment for end-stage pulmonary disease. Complications of lung transplantation include airway stenosis and dehiscence, reimplantation response, acute rejection, infection, posttransplantation lymphoproliferative disorder, and bronchiolitis obliterans syndrome. The incidence of graft rejection and airway anastomosis experienced in the early years of lung transplantation have been significantly reduced by advances in immunosuppression and surgical techniques...
March 2009: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/17923779/serial-ct-findings-of-paragonimus-infested-dogs-and-the-micro-ct-findings-of-the-worm-cysts
#18
Chang Hyun Lee, Jung-Gi Im, Jin Mo Goo, Hyun Ju Lee, Sung-Tae Hong, Cheng Hua Shen, Doo Hyun Chung, Kyu Ri Son, Jung Min Chang, Hong Eo
OBJECTIVE: To investigate the serial CT findings of Paragonimus westermani infected dogs and the microscopic structures of the worm cysts using Micro-CT. MATERIALS AND METHODS: This study was approved by the committee on animal research at our institution. Fifteen dogs infected with P. westermani underwent serial contrast-enhanced CT scans at pre-infection, after 10 days of infection, and monthly thereafter until six months for determining the radiologic-pathologic correlation...
September 2007: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/17594887/-imaging-findings-in-catamenial-pneumothorax
#19
M J Ciudad, N Santamaría, A Bustos, J Ferreirós, B Cabeza, A Gómez
OBJECTIVE: To show the presentation and imaging findings of catamenial pneumothorax. MATERIAL AND METHODS: We reviewed the imaging tests (plain-film radiography, computed tomography [CT], magnetic resonance [MR]) performed in six women aged between 28 and 44 years with recurrent pneumothorax associated to menstruation. All patients underwent videothoracoscopic surgery and thoracotomy was necessary in three due to the recurrence of the pneumothorax. RESULTS: CT was performed in three cases and found pleural nodules in two; one of these was confirmed at MR...
July 2007: Radiología
https://www.readbyqxmd.com/read/16538157/a-case-of-acute-pneumonitis-following-talc-pleurodesis-high-resolution-ct-findings
#20
Yookyung Kim, Yoon Kyung Kim, Moon Young Choi, Kyoung-Eun Lee
Talc is one of the most effective agents for pleurodesis but it may induce serious pulmonary complication caused by pulmonary talc deposition. We describe a case of acute pneumonitis following talc pleurodesis in a 30-year-old woman who had malignant pleural effusion. Air-space consolidation and ground-glass attenuation developed in both lungs, predominantly in the ipsilateral lung, shortly after pleurodesis and were not satisfactorily explained by reexpansion pulmonary edema or pneumonia. She was started on treatment with corticosteroid...
March 2006: Journal of Thoracic Imaging
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