Pneumothorax and pneumomediastinum on supine chest x-ray

Case contributed by Dr Ashvin Paramanathan

Presentation

Day 1 post bioprosthetic aortic valve replacement.

Patient Data

Age: 65 years
Gender: Female

Pneumomediastinum noted. Moderate volume right upper zone pneumothorax characterized by loss of lung markings. Deep sulcus sign right side. 

Subsequent pigtail catheter resulted in resolution of symptoms.

Case Discussion

In a supine position, pneumomediastinum and a deep sulcus sign can be characteristic of a pneumothorax. 

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Case information

rID: 42456
Published: 21st Jan 2016
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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