Citation, DOI, disclosures and article data
Citation:
Liu A, Knipe H, Sharp mediastinum sign. Reference article, Radiopaedia.org (Accessed on 08 Dec 2024) https://doi.org/10.53347/rID-156385
Disclosures:
At the time the article was last revised Henry Knipe had the following disclosures:
- Radiopaedia Events Pty Ltd, Speaker fees (past)
- Integral Diagnostics, Shareholder (ongoing)
- Micro-X Ltd, Shareholder (ongoing)
These were assessed during peer review and were determined to
not be relevant to the changes that were made.
View Henry Knipe's current disclosures
The sharp mediastinum sign is a unique sign in neonatal chest x-rays for medial pneumothoraces or pneumomediastinum, especially as a complication to mechanical ventilation for respiratory distress syndrome (RDS).
Radiographic features
Plain radiograph
As neonatal chest x-rays are taken with the neonate/infant supine, the air in the pleural space rises to paramediastinal locations, and the air creates a sharp contour around mediastinal structures 1.
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1. Michele Walters, Richard L. Robertson. Pediatric Radiology. (2016) ISBN: 9780323323079 - Google Books
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2. Rick R. van Rijn, Johan G. Blickman. Differential Diagnosis in Pediatric Imaging. (2011) ISBN: 9783131494115 - Google Books
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