Hemithorax white-out

Case contributed by Dr Ian Bickle

Presentation

Elderly female with a prior history of malignancy. Short of breath.

Patient Data

Age: 70 years
Gender: Female
X-ray

Chest radiograph

Complete opacification of the right hemithorax.

The trachea remains in the midline.  No mediastinal shift.

Left lung clear.

Case Discussion

Classical appearances of a complete white out of the hemithorax.

In this case it was due to a large pleural effusion with underlying lung collapse, hence no mediastinal shift.

The combination of 'push' from the effusion and 'pull' from the collapse has resulted in the trachea staying in the midline.

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Case information

rID: 50322
Published: 30th Dec 2016
Last edited: 29th Dec 2018
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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