scholarly journals A Phantom Opacity on Chest Radiograph

2020 ◽  
Author(s):  
Diana Pinho dos Santos ◽  
Marlene Delgado ◽  
Adelino Carragoso
Keyword(s):  
Pleural Effusion ◽  
Chest Radiograph ◽  
Transverse Fissure

The authors present a case of phantom tumour of the lung. This is a type of pleural effusion where fluids accumulate in the interlobar fissures, typically in the transverse fissure. Its prompt recognition avoids additional, unnecessary or expensive examination and treatment mistakes.

scholarly journals Role of chest radiograph in MERS-Cov pneumonia: a single tertiary referral center experience in the United Arab Emirates

2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Karuna M. Das ◽  
Jamal Aldeen Alkoteesh ◽  
Mohamud Sheek-Hussein ◽  
Samira Ali Alzadjali ◽  
Mariam Tareq Alafeefi ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
United Arab Emirates ◽  
Chest Radiograph ◽  
Strong Predictor ◽  
Ground Glass ◽  
Tertiary Referral Center ◽  
Unit Management ◽  
Radiographic Score ◽  
Progression Of Disease

Abstract Background The Middle East respiratory syndrome coronavirus (MERS-Cov) continues to be a source of concern due to intermittent outbreaks. Serial chest radiographic changes in MERS-Cov patients were analyzed for various variables that could be compared to the patients’ final outcomes in a cluster of MERS-Cov patients and to identify a predictor of mortality in the United Arab Emirates. Results A total of 44 MERS-Cov cases were reviewed. The mean age of the patients was 43.7 ± 14.7 years. The chest radiograph was abnormal in 14/44 (31.8%). The commonest radiology features include ground-glass opacities (seven of 14, 50%), ground-glass and consolidation (seven of 14, 50%), pleural effusion (eight of 14, 57.1%), and air bronchogram (three of 14, 21.4%). The mortality rate was 13.6% (six of 44); the deceased group (6 of 44, 13.6%) was associated with significantly higher incidence of mechanical ventilation (p < 0.001), pleural effusion (p < 0.001), chest radiographic score (8.90 ± 6.31, p < 0.001), and type 4 radiographic progression of disease (p < 0.001). A chest radiographic score at presentation was seen to be an independent and strong predictor of mortality (OR [95% confidence interval] 3.20 [1.35, 7.61]). The Cohen κ coefficient for the interobserver agreement was k = 0.89 (p = 0.001). Conclusion The chest radiographic score, associated with a higher degree of disease progression (type 4), particularly in patients with old age or with comorbidity, may indicate a poorer prognosis in MERS-Cov infection, necessitating intensive care unit management or predicting impending death.

Pleural effusion

2007 ◽  
pp. 145-152
Keyword(s):  
Pleural Effusion ◽  
Pleural Fluid ◽  
Chest Radiograph ◽  
Pleural Space ◽  
Parietal Pleura ◽  
Clinical Approach ◽  
Clinical Scenario ◽  
Pleural Effusions ◽  
Wide Range

Introduction 146 Causes 146 Clinical approach 147 Pleural fluid 149 Management 151 Pleural effusions are a common clinical scenario with a wide range of causes. They are defined as an accumulation of fluid between the visceral and parietal pleura. There is normally around 20 ml of fluid present in the pleural space. Around 400 ml needs to be present before clinically apparent, whilst >200 ml is visible on the PA chest radiograph....

THE SUPPLEMENTARY VALUE OF TRANSTHORACIC ULTRASOUND FOR CHEST-RADIOGRAPH IN DIAGNOSIS THORACIC ANORMALIES

2014 ◽  
pp. 61-67
Author(s):  
Thi Ngoc Ha Hoang ◽  
Thanh Binh Nguyen ◽  
Dinh Tuan Nguyen ◽  
Thi Thu Hien Dang ◽  
Trong Khoan Le
Keyword(s):  
Pleural Effusion ◽  
Chest Wall ◽  
Chest Radiograph ◽  
University Hospital ◽  
Lung Pathology ◽  
X Ray ◽  
Pleural Thickening ◽  
First Choice ◽  
Chest X Ray ◽  
Transthoracic Ultrasound

Background: Chest X-ray was recommended as the first choice for lung pathology for longtime. Transthoracic ultrasonography can explore effectively the anomaly of chest wall, the pleura and the peripheral lung parenchyma. This diagnostic tool was not routinely applying in Viet Nam. Objective of this study is to confirm the supplementary value for chest radiograph of transthoracic ultrasound. Material and methods: Cross descriptive study from 4/2013 to 11/2013 on 32 patients with pleural, lung and chest wall pathology by ultrasound and chest radiograph at Hue University Hospital. Results: 17 trauma and 15 non trauma patients with almost man (81.2%) at the working-age (71.9%). The most common clinical sign is chest pain (84.4%), then pleural effusion, shortness of breath, glare pain point (31-34%). The ultrasound is more sensitive than chest X ray in diagnosis of pleural effusion, rib fracture, pleural thickening... The fracture of the 8th–10th ribs are well diagnosed on US were missed on chest radiograph. The characteristic of pleural effusion and the minimum of pleural thickening were explored on US only. Conclusion: The supplementary value of transthoracic US for chest X ray in diagnosis the anomaly of pleura and chest wall is now justified, especially in case traumatism. Key words: X-ray, lung pathology, transthoracic

Hiding in plain sight: Diagnosing pleural tuberculosis using lung ultrasound

Ultrasound ◽  
2020 ◽  
pp. 1742271X2095976
Author(s):  
Wan Aireene Wan Ahmed ◽  
Mohd Jazman Che Rahim ◽  
Nurashikin Mohammad ◽  
Mohd Hashairi Fauzi ◽  
Shaik Farid Abdull Wahab
Keyword(s):  
Pleural Effusion ◽  
Chest Radiograph ◽  
Lung Ultrasound ◽  
Lower Zone ◽  
Case Presentation ◽  
Pleural Tuberculosis ◽  
Resource Limited ◽  
Novel Method ◽  
Limited Health ◽  
Cellular Components

Introduction Diagnosing pleural tuberculosis can be difficult in patients with ambiguous presentation, especially in resource-limited health centres. Thus, lung ultrasound had been studied as a novel method in helping clinicians to diagnose this condition. Case presentation A 48-year-old woman presented with worsening dyspnoea and orthopnoea for one week. She had also experienced weight loss, minimal dry cough and right-sided pleuritic chest pain for several weeks. A chest radiograph showed a right lower zone pleural effusion with no apparent lung consolidation. Lung ultrasound showed a right apical consolidation and right lower zone septated pleural effusion. Pleural fluid investigations showed exudative features of mixed lymphocytic, mesothelial and neutrophilic cellular components. Tuberculin skin test was strongly positive. She was subsequently treated for pleural tuberculosis. One month after treatment, her symptoms had improved considerably. Discussion Lung ultrasound has been found to be more effective than chest radiograph in detecting consolidation and diagnosing pneumonia. The portability and efficacy of today’s ultrasound machines, including the handheld types, show that lung ultrasound is a practical, reliable and valuable diagnostic tool in managing pulmonary conditions including tuberculosis, provided that the operators are adequately trained. Conclusion Lung ultrasound in tuberculosis is the next frontier for clinicians and researchers.

scholarly journals Tension hydrothorax in a patient with SARS-CoV-2 pneumonitis and pleural Mycobacterium tuberculosis

2021 ◽  
Vol 14 (7) ◽  
pp. e243760
Author(s):  
Mohsin F Butt ◽  
Maggie Symonds ◽  
Ruhaid Khurram
Keyword(s):  
Emergency Department ◽  
Mycobacterium Tuberculosis ◽  
Pleural Effusion ◽  
Respiratory Distress ◽  
Chest Radiograph ◽  
Left Lung ◽  
Pleural Effusions ◽  
Mediastinal Shift ◽  
History Of ◽  
The Right

Unilateral pleural effusions are uncommonly reported in patients with SARS-CoV-2 pneumonitis. Herein, we report a case of a 42-year-old woman who presented to hospital with worsening dyspnoea on a background of a 2-week history of typical SARS-CoV-2 symptoms. On admission to the emergency department, the patient was severely hypoxic and hypotensive. A chest radiograph demonstrated a large left-sided pleural effusion with associated contralateral mediastinal shift (tension hydrothorax) and typical SARS-CoV-2 changes within the right lung. She was treated with thoracocentesis in which 2 L of serosanguinous, lymphocyte-rich fluid was drained from the left lung pleura. Following incubation, the pleural aspirate sample tested positive for Mycobacterium tuberculosis. This case demonstrates the need to exclude non-SARS-CoV-2-related causes of pleural effusions, particularly when patients present in an atypical manner, that is, with tension hydrothorax. Given the non-specific symptomatology of SARS-CoV-2 pneumonitis, this case illustrates the importance of excluding other causes of respiratory distress.

Chest sonography versus chest radiograph in children admitted to paediatric intensive care – A prospective study

2021 ◽  
pp. 004947552110166
Author(s):  
Anil Sachdev ◽  
Anuj Khatri ◽  
Kamal K Saxena ◽  
Dhiren Gupta ◽  
Neeraj Gupta ◽  
...  
Keyword(s):  
Intensive Care ◽  
Pleural Effusion ◽  
Pulmonary Oedema ◽  
Chest Radiograph ◽  
Paediatric Intensive Care ◽  
Number Of Patients ◽  
Left Pleural Effusion ◽  
Ultrasound Findings ◽  
Double Blinded ◽  
A Prospective Study

There is a paucity of studies on the correlation between chest radiograph and ultrasound (US) in children. Our objective was to study the correlation between bedside chest radiograph and ultrasound findings in 413 children with 1002 episodes of chest radiograph and US enrolled for a prospective, double-blinded observational study in a multidisciplinary paediatric intensive care unit. Weighted κ statistic for agreement was different for right and left lungs and varied from 50% for left pleural effusion to 98% for right pneumothorax. Pulmonary oedema, pneumothorax and pleural effusion were diagnosed by ultrasound alone in a significantly higher number of patients as compared to chest radiograph (P = 0.001). Chest ultrasound is therefore deemed more sensitive than chest radiograph in detection of pleural effusion, pulmonary oedema and pneumothorax.

Extent of pleural effusion on chest radiograph is associated with failure of high-flow nasal cannula oxygen therapy

2016 ◽  
Vol 32 ◽  
pp. 165-169 ◽  
Author(s):  
Yasutaka Koga ◽  
Kotaro Kaneda ◽  
Ichiko Mizuguchi ◽  
Takashi Nakahara ◽  
Takashi Miyauchi ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Chest Radiograph ◽  
Oxygen Therapy ◽  
High Flow ◽  
Nasal Cannula ◽  
High Flow Nasal Cannula

scholarly journals Congenital Tuberculosis in an Infant – Epidemiological Investigation

2017 ◽  
Vol 13 (1) ◽  
pp. 43-45
Author(s):  
A Kharate ◽  
Jyoti Khurana ◽  
M Patidar ◽  
N Doshi
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Pleural Effusion ◽  
Bacterial Infection ◽  
Premature Infant ◽  
Chest Radiograph ◽  
Fluorescent Microscopy ◽  
Gastric Aspirate ◽  
Epidemiological Investigation ◽  
Acid Fast Bacilli ◽  
Congenital Tuberculosis

Congenital Tuberculosis was diagnosed in a 40-days-old premature infant. The infant had fever. A chest radiograph showed infiltrates which was thought to be bacterial infection. Gastric aspirate revealed acid- fast bacilli by Ziehl-Neelsen staining and fluorescent microscopy later confirmed to be Mycobacterium tuberculosis by  Gene Xpert MTB/RIF test. Her 22 years old mother was later diagnosed as a case of tuberculosis with symptoms, signs and radiologic manifestation of mild pleural effusion with infiltration. Infant was treated with isoniazid, syrup rifampicin, pyrazinamide and  pyridoxine and mother with RNTCP Cat I regimen.SAARC J TUBER DIS HIV/AIDS, 2016;XIII (1), page: 43-45

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