Chest_Surgical_pathology__amp;X-rays_3

							Massive Right Pleural Effusion

                              The right
                            hemithorax is
                              opaque
                          There is a shift of
                          the heart and
                          trachea away from
                          the side of
                          opacification



                 Index
      Rt. lung
      effusion
If an effusion (whatever
the fluid is) fills the entire
hemithorax
It acts like a mass
Pushing the heart and
trachea away from the
side of opacification




                                 Index
        Hydro-
        Hydro-
     pneumothorax


23                  © Vascular 2007
          Index
      hydro-
  Rt. hydro-
pneumothorax


Hydropneumothorax
 in three different
      views:
                                PA   Lateral
The PA, lateral, and
  right decubetus
 reveal a horizontal
 air and fluid level.



                Rt. decubetus
  24                                  © Vascular 2007
       Index
                 hydro-
     Lt. Massive hydro-pneumothorax




25                                    © Vascular 2007
                                        Index
     Lung Collapse



26                   © Vascular 2007
          Index
                                                               Index




       Normal


 For comparison

Massive pleural effusion
                                         Left Plural Tap was
                                             NEGATIVE




                           Complete Lt. Lung Collapse
Complete Lt. Lung Collapse
                       o40-year-old woman
                       with tuberculous
                       bronchial stricture

                       oChest radiograph
                       shows complete
                       collapse of left lung and
                       deviation (arrows) of
                       trachea to left lung




28                                      © Vascular 2007
               Index
 Lt. Lung
 Collapse
There is a shift of
heart and
hemidiaphragm
toward side of
opacification
(toward side of volume loss)




             Normal            Index
                Compare




     Rt. lung              Lt. lung
30
     effusion      Index
                           collapse