radiography

Pneumothorax in apex region

Pneumothorax in apex region

Pneumothorax in the apex region was difficult to see on the X-ray image. On the VolumeRAD slices a bilateral pneumothorax is very conspicuous.

By Dr. Antoine Scherrer, Head of General and Interventional Radiology, Hôpital Foch, Suresnes, France

Patient History

Monitoring of patient after right lung surgery
Fig. 1, X-ray image in bed
Fig. 1, X-ray image in bed

Findings

Assessment of pneumothorax is hazardous on the plain portable chest X ray (Fig. 1). On the VolumeRAD slices a bilateral pneumothorax is very conspicuous (Fig. 2 and 3).
Fig. 2, sequence of VolumeRAD images, 120 – 140mm
Fig. 2, sequence of VolumeRAD images, 120 – 140mm
Fig. 3, detail of VolumeRAD slice 130 mm
Fig. 3, detail of VolumeRAD slice 130 mm

Conclusion

Dr. Antoine Scherrer
“This pneumothorax was hidden in the apex region on the left side and was therefore difficult to see on the X-ray image. By removing the overlying structures VolumeRAD can demonstrate its value for diagnosis in difficult cases.”
Download the pdf file version of the case