Hydropneumothorax

Case contributed by Dr Henry Knipe

Presentation

Post pleural drain removal.

Patient Data

Age: 45
Gender: Male
X-ray

Loculated hydropneumothorax on the right (projects over the right hilum). Right pleural effusion. Blunted left costodiaphragmatic angle. Left lung is clear. 

Annotated image

Yellow arrows indicative position of air-fluid levels, indicative of hydropneumothorax. 

Case Discussion

Pneumothorax is the most common complication of thoracocentesis, occurring in up to 40% of patients, with half of these requiring a chest drain 1

The presence of an air-fluid level differentiates a hydropneumothorax from a simple pneumothorax

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Case information

rID: 30442
Case created: 11th Aug 2014
Last edited: 25th Apr 2016
System: Chest
Inclusion in quiz mode: Included

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