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Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
asphyxia Any rib ... fracture - Pneumothorax ... of first three ribs ... Fracture of lower ribs ... Persistent large pneumothorax
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... with a cystic lung ... LAM is a rare lung ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Check apices for pneumothorax ... tumour, cervical rib ... Check lung periphery ... radiologistpage #Chest
ED Thoracotomy Instructions

Getting Into the Chest:
1. Bilateral finger thoracotomies
  • 4th or 5th intercostal space
Getting Into the Chest ... • Curve along rib ... Open chest with ... rib spreaders ... bleeding vessels, lung
Lung Point in Pneumothorax

Lung ultrasound of a patient with SOB and chest pain after central line
Lung Point in Pneumothorax ... Lung ultrasound ... patient with SOB and chest ... carlosmenegozzo #Lung ... #Point #pneumothorax
The second most common chest wall abnormalities that we see on a CXR are metastases in
second most common chest ... vertebral bodies and ribs ... the posterior rib ... Tumor #Metastases #Rib ... RibMetastases #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... the lung will lie ... against the anterior chest ... inferior part of the lung ... Cardiac #Incisura #RadiologyAssistant
Chest Injury Score for Blunt Chest Wall Trauma
Age - 1 - Per additional 10-year increase starting
Chest Injury Score ... for Blunt Chest ... age Number of rib ... Per additional rib ... fracture Chronic lung
Assessment of Chest Tube Drains
Stepwise assessment of Chest Tube Function
TUBE POSITIONING
 • Look at the CXR:
injury to the lung ... large injury to lung ... 14-22 Fr stable pneumothorax ... -28 Fr tension pneumothorax ... resolution of the pneumothorax
Surgical Chest Tube for Unstable Pneumothorax or Hemothorax
PREPARE
 • Landmark: Anterior Axillary Line, 4th or 5th
Surgical Chest Tube ... for Unstable Pneumothorax ... , then down to rib ... dissect down to rib ... Feel superior of rib