Dawes L, Bickle I, Elfeky M, et al. Hemithorax white-out (differential). Reference article, Radiopaedia.org (Accessed on 06 Oct 2024) https://doi.org/10.53347/rID-1439
Complete white-out of a hemithorax on the chest x-ray has a limited number of causes. The differential diagnosis can be shortened further with one simple observation: the position of the trachea. Is it central, pulled or pushed from the side of opacification? Is there pulmonary volume loss or volume gain? Is there rib crowding? Is the heart pushed or pulled?
1. Khan AN, Al-jahdali H, Al-ghanem S et-al. Reading chest radiographs in the critically ill (Part II): Radiography of lung pathologies common in the ICU patient. Ann Thorac Med. 2009;4 (3): 149-57. doi:10.4103/1817-1737.53349 - Free text at pubmed - Pubmed citation
4. Susie J. Goodwin, Elise Randle, Akane Iguchi, Katherine Brown, Aparna Hoskote, Alistair D. Calder. Chest computed tomography in children undergoing extra-corporeal membrane oxygenation: a 9-year single-centre experience. (2014) Pediatric Radiology. 44 (6): 750. doi:10.1007/s00247-014-2878-3 - Pubmed
5. Alex M. Barnacle, Liz C. Smith, Melanie P. Hiorns. The Role of Imaging During Extracorporeal Membrane Oxygenation in Pediatric Respiratory Failure. (2012) American Journal of Roentgenology. 186 (1): 58-66. doi:10.2214/AJR.04.1672 - Pubmed
{"current_user":null,"inclusions":[{"imageId":826,"studyId":37526,"caseSlug":"hemithorax-white-out-lung-collapse","caption":"Case 1: collapse","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/826/f4af8687d6c97f851eff6b7c86ead5_big_gallery.jpeg"},{"imageId":1564406,"studyId":15745,"caseSlug":"right-hemithorax-white-out-pleural-effusion","caption":"Case 2: pleural effusion","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/1564406/cfb031eea250ef20cd417099c28494_big_gallery.jpg"},{"imageId":60365167,"studyId":129359,"caseSlug":"large-pleural-effusion-infant-3","caption":"Case 3: in an infant","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/60365167/e5ec93ef21d33ac256eb1636b369a98d8951ec5538d23842ce8931c5592bd187_big_gallery.jpeg"},{"imageId":252171,"studyId":9251,"caseSlug":"ewing-sarcoma-9","caption":"Case 4: Ewing sarcoma","isStack":false,"diagnosticCertainty":"probable","thumbnail":"https://prod-images-static.radiopaedia.org/images/252171/9a1288ab504ed33a148fbf618c6e3da1e3f99eabcc2750df4efdaf2d055b2b4d_big_gallery.jpeg"},{"imageId":577164,"studyId":12174,"caseSlug":"post-pneumonectomy-syndrome","caption":" Case 5: pneumonectomy","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/577164/31c6bedb9d0ae088a593a75ecbb86c_big_gallery.jpg"},{"imageId":24989665,"studyId":52605,"caseSlug":"renal-cell-carcinoma-with-hypervascular-metastases","caption":"Case 6: metastatic pleural effusion","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/24989665/2ebf8cc4cc0e49c35ca23121060175_big_gallery.jpeg"},{"imageId":4451381,"studyId":24589,"caseSlug":"pleural-fibroma","caption":"Case 7: pleural fibroma","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/4451381/ae5a150ec40396caf83ea32b76119d_big_gallery.jpg"},{"imageId":7505424,"studyId":30493,"caseSlug":"right-hemithorax-white-out-haemothorax-2","caption":"Case 8: hemothorax","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/7505424/abc146721f0b878f7d1b71733c6d8b_big_gallery.jpeg"},{"imageId":10143679,"studyId":34258,"caseSlug":"pleural-empyema-8","caption":"Case 9: pleural empyema","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/10143679/eb20ebc6cd31fea32b2b0306349b39_big_gallery.jpeg"},{"imageId":11797825,"studyId":36585,"caseSlug":"re-expansion-pulmonary-oedema-1","caption":"Case 10: right main stem intubation","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/11797825/7e633a0adabab78a140243437c5f7aef40ed7c4358e7e18a977cd7c1ca6b14ac_big_gallery.jpeg"},{"imageId":22228767,"studyId":48917,"caseSlug":"left-hepatohydrothorax-without-ascites-in-a-case-of-cirrhosis-portal-hypertension-and-splenomegaly","caption":"Case 11: left hepatohydrothorax without ascites in a case of cirrhosis, portal hypertension and splenomegaly","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/22228767/1ea7e8a816f08b0b63285b9d708f06_big_gallery.jpeg"},{"imageId":7037354,"studyId":29703,"caseSlug":"airway-foreign-body-in-child","caption":"Case 13: airway foreign body in child","isStack":false,"diagnosticCertainty":"confirmed_unsubstantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/7037354/2bd255c7b029b8b585a56a603179f3_big_gallery.jpg"},{"imageId":34073622,"studyId":63741,"caseSlug":"hemithorax-white-out-pneumonia-1","caption":"Case 14: Hemithorax white-out (pneumonia)","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/34073622/ec3a480c0926ded74429df416cfb05_big_gallery.jpeg"},{"imageId":9303429,"studyId":33496,"caseSlug":"diaphragmatic-hernia-6","caption":"Case 15: Diaphragmatic hernia","isStack":true,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/9303429/35b7b8e27185f17e24f2621d6074b0_big_gallery.jpg"},{"imageId":9155311,"studyId":33190,"caseSlug":"left-lung-aplasia","caption":"Case 16: Left lung aplasia","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/9155311/0be9571d31c65910cc600d817dfbe5_big_gallery.jpeg"},{"imageId":7457488,"studyId":30402,"caseSlug":"agenesis-of-right-lung-1","caption":"Case 17: Agenesis of right lung","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/7457488/8fd38e667af48ab3a688522b17c732_big_gallery.jpg"},{"imageId":51920036,"studyId":84292,"caseSlug":"swine-flu-h1n1-influenza-complete-white-out","caption":"Case 18: bilateral white out due to swine flu (H1N1 influenza)","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/51920036/2e58bd5abce0130821cd1b32a38072_big_gallery.jpeg"},{"imageId":2473641,"studyId":19972,"caseSlug":"white-out-right-hemithorax-malignant-pleural-effusion-2","caption":"Case 19: malignant pleural effusion","isStack":false,"diagnosticCertainty":"probable","thumbnail":"https://prod-images-static.radiopaedia.org/images/2473641/b71e9acc35050eaaab35fd89c13509_big_gallery.jpg"}],"ddx_inclusions":[{"imageId":17101260,"studyId":43502,"caseSlug":"ruptured-hemidiaphragm","caption":"Ruptured hemidiaphragm","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/17101260/a27a6c8e285a3253ad5e731c2b585e_big_gallery.jpeg"},{"imageId":28026109,"studyId":57475,"caseSlug":"tension-gastrothorax","caption":"Tension gastrothorax","isStack":false,"diagnosticCertainty":"confirmed_substantiated","thumbnail":"https://prod-images-static.radiopaedia.org/images/28026109/0b959b2906dbdc905e71bb1e5dfb59_big_gallery.jpeg"}],"lang":"us"}
Updating… Please wait.
Unable to process the form. Check for errors and try again.
Unable to process the form. Check for errors and try again.