eMedicine Specialties > Radiology > Chest

Pneumothorax: Multimedia

Author: Fahad M Alhameed, MD, AmBIM, FCCP, FRCPC, Deputy Chairman of Intensive Care Department, Consultant Critical Care and Pulmonary Medicine, Department of Intensive Care and Pulmonary Medicine, King Khalid National Guard Hospital, Jeddah, Saudi Arabia
Coauthor(s): Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St. Boniface General Hospital; Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Contributor Information and Disclosures

Updated: Dec 11, 2008

Multimedia

A large right-sided pneumothorax has occurred fro...Media file 1: A large right-sided pneumothorax has occurred from a rupture of a subpleural bleb.
A large right-sided pneumothorax has occurred fro...

A large right-sided pneumothorax has occurred from a rupture of a subpleural bleb.

A true pneumothorax line. Note that the visceral ...Media file 2: A true pneumothorax line. Note that the visceral pleural line is observed clearly, with the absence of vascular marking beyond the pleural line.
A true pneumothorax line. Note that the visceral ...

A true pneumothorax line. Note that the visceral pleural line is observed clearly, with the absence of vascular marking beyond the pleural line.

Note that although a skin fold can mimic a subtle...Media file 3: Note that although a skin fold can mimic a subtle pneumothorax, lung markings are visible beyond the skin fold.
Note that although a skin fold can mimic a subtle...

Note that although a skin fold can mimic a subtle pneumothorax, lung markings are visible beyond the skin fold.

Deep sulcus sign in a supine patient in the ICU. ...Media file 4: Deep sulcus sign in a supine patient in the ICU. The pneumothorax is subpulmonic.
Deep sulcus sign in a supine patient in the ICU. ...

Deep sulcus sign in a supine patient in the ICU. The pneumothorax is subpulmonic.

An older man admitted to ICU postoperatively. Not...Media file 5: An older man admitted to ICU postoperatively. Note the right-sided pneumothorax induced by the incorrectly positioned small-bowel feeding tube in the right-sided bronchial tree. Marked depression of the right hemidiaphragm is noted, and mediastinal shift is to the left side, suggestive of tension pneumothorax. The endotracheal tube is in a good position.
An older man admitted to ICU postoperatively. Not...

An older man admitted to ICU postoperatively. Note the right-sided pneumothorax induced by the incorrectly positioned small-bowel feeding tube in the right-sided bronchial tree. Marked depression of the right hemidiaphragm is noted, and mediastinal shift is to the left side, suggestive of tension pneumothorax. The endotracheal tube is in a good position.

Right main stem intubation resulting in left-side...Media file 6: Right main stem intubation resulting in left-sided tension pneumothorax, right mediastinal shift, deep sulcus sign, and subpulmonic pneumothorax
Right main stem intubation resulting in left-side...

Right main stem intubation resulting in left-sided tension pneumothorax, right mediastinal shift, deep sulcus sign, and subpulmonic pneumothorax

Pneumomediastinum from barotrauma may result in t...Media file 7: Pneumomediastinum from barotrauma may result in tension pneumothorax and obstructive shock.
Pneumomediastinum from barotrauma may result in t...

Pneumomediastinum from barotrauma may result in tension pneumothorax and obstructive shock.

A patient in ICU developed pneumopericardium as a...Media file 8: A patient in ICU developed pneumopericardium as a manifestation of barotrauma.
A patient in ICU developed pneumopericardium as a...

A patient in ICU developed pneumopericardium as a manifestation of barotrauma.

More on Pneumothorax

Overview: Pneumothorax
Imaging: Pneumothorax
Follow-up: Pneumothorax
Multimedia: Pneumothorax
References
Further Reading

References

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  25. Bense L, Lewander R, Eklund G, et al. Nonsmoking, non-alpha 1-antitrypsin deficiency-induced emphysema in nonsmokers with healed spontaneous pneumothorax, identified by computed tomography of the lungs. Chest. Feb 1993;103(2):433-8. [Medline].

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Keywords

pneumothorax, spontaneous pneumothorax, primary spontaneous pneumothorax, secondary spontaneous pneumothorax, traumatic pneumothorax, iatrogenic pneumothorax, pneumomediastinum, catamenial pneumothorax, pneumothorax in AIDS

Contributor Information and Disclosures

Author

Fahad M Alhameed, MD, AmBIM, FCCP, FRCPC, Deputy Chairman of Intensive Care Department, Consultant Critical Care and Pulmonary Medicine, Department of Intensive Care and Pulmonary Medicine, King Khalid National Guard Hospital, Jeddah, Saudi Arabia
Fahad M Alhameed, MD, AmBIM, FCCP, FRCPC is a member of the following medical societies: American College of Chest Physicians, American Thoracic Society, Canadian Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Coauthor(s)

Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St. Boniface General Hospital
Sat Sharma, MD, FRCPC is a member of the following medical societies: American Academy of Sleep Medicine, American College of Chest Physicians, American College of Physicians-American Society of Internal Medicine, American Thoracic Society, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada, Royal Society of Medicine, Society of Critical Care Medicine, and World Medical Association
Disclosure: Nothing to disclose.

Bruce Maycher, MD, Director of Pulmonary Radiology, St Boniface General Hospital; Associate Professor, Department of Radiology, University of Manitoba
Bruce Maycher, MD is a member of the following medical societies: American Roentgen Ray Society, Canadian Medical Association, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Medical Editor

Satinder P Singh, MD, Associate Professor of Radiology, Chief of Cardiopulmonary Radiology, Director of Cardiac CT, Director of Combined Cardiopulmonary and Abdominal Radiology, Department of Radiology, University of Alabama at Birmingham
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

W Richard Webb, MD, Chief of Thoracic Imaging, Professor, Department of Radiology, University of California at San Francisco
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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