Multifocal collapse secondary to underventilation when intubated
Diagnosis almost certain
Presentation
Bronchiolitis. Intubated.
Patient Data
Age: 3 years
Gender: Male
Race: Caucasian
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Multifocal collapse in the upper lobes bilaterally (greater on the right) with subsegmental collapse at the right base and extensive peribronchial thickening centrally.
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Increase in ventilator settings
ETT and NGT in appropriate positions.
The lungs are well expanded and there is no evidence of consolidation, collapse or pneumothorax. There is mild peribronchial thickening centrally.
Case Discussion
The rapid change following an increase in ventilator pressure settings proves that the opacification demonstrated on the initial radiograph was secondary to collapse, not consolidation. It is interesting how the prominence of peribronchial thickening also reduces.
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