Busy chest radiograph

Case contributed by Ian Bickle
Diagnosis not applicable

Presentation

Long hospital stay with complicated pancreatitis. In ICU.

Patient Data

Age: 40 years
Gender: Male
x-ray

Endotracheal tube.  Right internal jugular line. Left PICC line. External cardiac monitoring leads.

Nasogastric tube.  Upper abdominal pigtail drain.  Splenic artery embolization coils.

Large right sided pneumothorax. 

Bilateral pleural effusions, larger on the left.

Diffuse bilateral consolidation predominantly perihilar, worse on the right with air bronchograms well illustrated. 

 

Case Discussion

A very busy radiograph on a complex ICU patient.  Keep on looking.

Complicated acute pancreatitis was the primary pathology in this case.

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