Hydropneumothorax

Case contributed by Dr Ian Bickle

Presentation

Patient attends for follow up following recent thoracic surgery.

Patient Data

Age: 65
Gender: Male
X-ray

Clips at the left hilum in keeping with a recent pneumonectomy.

Air-fluid level in the mid left thoracic cavity, in keeping with a hydropneumothorax.

Case Discussion

Hydropneumothorax describes air and fluid within the pleural space.  It has a typical straight appearance at the air-fluid interface, as opposed to the meniscus of a purley fluid filled pleural collection.

Two of the most common reasons are in trauma and in the early stages following pneumonectomy, as the thorax cavity fills with fluid following surgery.

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Case information

rID: 26712
Case created: 3rd Jan 2014
Last edited: 11th Mar 2016
System: Chest
Inclusion in quiz mode: Included

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