Presentation
In ICU after an MVA sustained a few days earlier. Reduced oxygenation.
Patient Data
Age: 40
Gender: Female
Supine AP CXR (mobile unit)
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- The ETT tip arches into the right main bronchus. As a consequence the transparency of the left hemithorax is markedly reduced, due to resultant atelectasis. For a supine CXR like this pleural effusion is an important differential diagnosis. The marked shift of the mediastinum to the left confirms that air space collapse is the main contributor to the reduced transparency.
Other findings:
- Diffuse bilateral air space opacities represent prior lung contusion
- Multiple rib fractures (right), bilateral clavicle and right scapular fracture.
- Right subclavian CVC in a normal position.
Rewindowed magnified key image
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The image highlights the position of the ETT tip in relation to the carina (arrow).
Case Discussion
Typical presentation of endobronchial intubation and its sequelae.
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