Medical devices in the thorax

Medical devices in the thoracic cavity are regularly observed by radiologists on radiograph and CT reporting.

  • tubings, clamps, syringes lying on or under the patient
  • rubber sheets, foam mattresses or similar paraphernalia may also be visible on chest radiographs

Above mentioned devices are mostly unimportant for imaging purpose, but they still need to be recognised by the radiologist:

  • thoracostomy tubes
    • usually placed anterosuperiorly to drain pneumothorax, and posteroinferiorly to drain pleural effusion
    • a well-positioned tube should lie between visceral and parietal pleura, and there should not be any kinking
    • to check the correct positioning, frequently AP and lateral views are required. CT scan may also be supplemented
    • should not enter the interlobar fissure, else it may be blocked 1; tip should not be within the lung parenchyma or subcutaneous tissue
  • pigtail catheter: used in empyema drainage
  • Heimlich valve: it is a one-way valve used for pleural space drainages, which prevents the return of gases or fluids into the pleural space
  • plombage: "ping-pong" ball plombage and wax plombage (was used for tuberculosis, not used nowadays)
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Article Information

rID: 16432
Systems: Chest, Cardiac, Breast
Section: Gamuts
Synonyms or Alternate Spellings:
  • Medical devices in chest
  • Medical devices in the chest
  • Medical devices in the thoracic cavity
  • Medical devices of chest
  • Medical devices of the chest

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Cases and Figures

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    Breast implants o...
    Case 1: breast implants on lateral radiograph
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    Case 2: oesophageal stent
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    Case 3: bi-lumen dialysis line
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    Case 4: Mitraclip
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    Case 5: aortic and mitral prosthetic valves
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    Case 6: pacemaker
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    Biventricular car...
    Case 7: biventricular cardiac pacemaker
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    Atrial septal def...
    Case 8: ASD closure device
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    Case 9: embolisation coils
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    Case 10: implantable cardiac defibrillator (ICD)
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    Case 11: congenital pulmonary valve stenosis
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    Case 12: cardiac event recorder
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    Pulmonary edema a...
    Case 13: intra-aortic balloon pump
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    Case 14: left ventricular assist device (LVAD)
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    Case 15: left ventricular assist device (LVAD)
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    Case 16: Amplatz occluder device
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    Describe all hard...
    Case 17: intra-aortic balloon pump
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    Case 18: Amplatz occluder
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    Zoomed epicardial...
    Case 19: epicardial pacing wires
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     Case 20: embolisation coils
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    Case 21: deep brain pulse stimulator
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    Case 22: scoliosis clips
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    Case 23: pericardiocentesis catheter
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    Case 24: ASD closure device
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    Case 25: displaced pacemaker lead
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    Case 26: epicardial patch
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    Case 27: breast implants
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    Case 28: chest port
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    Case 29: rib ORIF
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    Radio opaque fore...
    Case 30: wireless pH probe
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    Case 31: cooling blanket
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    Zoomed in view.
    Case 32: Passy-Muir valve
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    Case 33: 24 hour ambulatory impedance pH test
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    Case 34: plombage
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    Case 35: antibiotic spacer
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    Case 36: left atrial appendage occlusion device
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    Case 37: pre-sternal peritoneal dialysis catheter
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    yellow is LVAD
    Case 38: Impella LVAD
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    Case 39: pulmonary stents
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    Case 40: lung volume reduction coils
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    Case 41: phrenic nerve stimulators
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    Case 42: breast tissue expander implants
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    Case 43: left atrial appendage clip
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    Case 44: Dobhoff tube
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    Case 45: Sengstaken-Blakemore tube
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    Case 46: infusaport with infusothorax
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    Case 47: Heimlich valve
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    Case 48: wearable external defibrillator
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    Case 49: Parachute device
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    endobronchial val...
    Case 50: endobronchial valves for emphysema
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    Case 51: bronchial endovalve
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    Case 52: VV ECMO
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    chest radiograph,...
    Casse 53: double lumen cannula for VV ECMO
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    Case 54: oesophageal manometer
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    Case 55: Watchman device
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    Case 56: pH probe
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