Unilateral airspace opacification

Case contributed by Dr Henry Knipe

Presentation

OOHVFA.

Patient Data

Age: 50 years
Gender: Female
Modality: X-ray

Extensive right lung airspace opacity, with air bronchograms. No pneumothorax. No rib fracture. Prominent vascular markings at the hilum, although this is a supine projection.      

ETT tip projects between the medial ends of the clavicles. Right internal jugular CVC with tip in the proximal SVC. NGT tip in the stomach.

Case Discussion

Given the history of VF arrest, the differential includes includes aspiration, infection, and unilateral pulmonary oedema, although the latter is common it is probably most likely in this case. 

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Case Information

rID: 48778
Case created: 24th Oct 2016
Last edited: 25th Oct 2016
System: Chest
Inclusion in quiz mode: Included

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