WWWTP #6 Answer…

March 21, 2013

WWWTP


This chest xray was posted several days ago:

RML PNA, high ETT 1

What’s wrong with this picture?

1.  There is an endotracheal tube in the upper trachea, it needs to be advanced!

The other finding on this xray is a right middle lobe pneumonia.  At first this may appear to be a pleural effusion due to the relatively linear appearance to the upper edge of the infiltrate.  However this is a supine film and the diaphragm can be easily seen on the right side.  Effusions, unless loculated, will layer posteriorly in a supine film and the entire lung space will look more radio opaque than the opposing lung.  The fact that the diaphragm can be seen indicates the infiltrate doesn’t come into contact with the diaphragm (see prior post describing “silhouette” phenomena).  Thus, this is a right middle lobe infiltrate.

Author:  Russell Jones, M.D.

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EMREMS: Radiology in Emergency Medicine

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  1. WWWTP #6 Answer… « Cortical Media - March 22, 2013

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