Complete white out

Case contributed by Dr Ian Bickle

Presentation

Shortness of breath.

Patient Data

Age: 65
Gender: Male
X-ray

Essentially complete white out of the left hemithorax.

The trachea is pushed to the right.

Right lung clear.

Case Discussion

A 'complete white out' of the hemithorax describes total opacification of one side of the thoracic cavity.

The main causes are:

- massive pleural effusion

- pneumonectomy

- total collapse

- total lung consolidation

The tracheal position is key to the likely cause - in the case it has been pushed to the contralateral side.

This is due to the mass effect from a pleural effusion.

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Case information

rID: 55155
Case created: 22nd Aug 2017
Last edited: 22nd Aug 2017
System: Chest
Inclusion in quiz mode: Included

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