Medical image of the week: widen mediastinum due to lung infiltrates

Southwest Journal of Pulmonary and Critical Care

Ateeli H¹  Zaid LA¹ 

[1] University of Arizona, Tucson, AZ USA;

关键词: widened mediastinum;    artifact;    chest x-ray;    CT scan;    pneumonia;    aspiration pneumonia;    pulmonary contusion;   

DOI  :  10.13175/swjpcc007-15

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated at 150 words. The patient is a 65-year-old man patient with a past medical history of poorly controlled hypertension and coronary artery disease who was admitted after a witnessed code arrest. He was found down, and paramedics arrived within 5 minutes and started chest compressions. His initial CXR showed a wide mediastinum (Figure 1A) that was concerning for possible aortic dissection especially with his history of poorly controlled hypertension. Due to his hemodynamic instability a chest CT scan couldn’t be done initially, but the patient underwent a trans-esophageal echo that was negative for aortic dissection. When the patient became more stable a chest CT scan with contrast was done and showed consolidation of the medial parts of both lungs with 7 bilateral rib fractures (Figure 1 B & C). The impression was either lung contusion from the aggressive chest compression as evidenced by the bilateral 7 rib fractures or aspiration in the dependent ...

【 授权许可】

Unknown