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Thursday, October 6, 2011

Pediatrics: Pneumothorax



PNEUMOTHORAX

  • Deep Sulcus sign
    • hyperlucent and deep costophrenic sulcus in affected side
  • Double diaphragm sign
    • Air in anterior CPS on lateral film
    • d/t air anteriorly and inferiorly
  • Could be simulated by:
    • Skin folds
    • Bullae
      • concave to chest wall rather than convex (pneumothorax)
  • CT Scan
    • best diagnostic tool
    • linear parenchymal tissue traversing avascular areas

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