Hydropneumothorax
Updates to Article Attributes
Body
was changed:
Hydropneumothorax is a term given to the concurrent presence of a pneumothorax as well as a hydrothorax (i.e. air and fluid) in the pleural space.
Pathology
It may arise in various situations which include
- thoracentesis 1,2
- thoracic trauma
- bronchopleural fistula
- oesophagopleural fistula
Radiographic features
Plain radiograph
On an erect chest radiograph, recognition of hydropneumothorax can be rather easy - and is classically shown as an air-fluid level. On the supine radiograph, this may be more challenging where a sharp pleural line is bordered by increased opacity lateral to it within the pleural space may sometimes suggest towards the diagnosis 3, 4,4.
Differential diagnosis
For an air-fluid level on plain film consider
- pyopneumothorax
- haemothorax
- pulmonary abscess
- traumatic pneumatocoele
- soft tissue abscess
-</ul><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>On an erect chest radiograph, recognition of hydropneumothorax can be rather easy - and is classically shown as an air-fluid level. On the supine radiograph, this may be more challenging where a sharp pleural line is bordered by increased opacity lateral to it within the pleural space may sometimes suggest towards the diagnosis <sup>3, 4</sup>. </p><h4>Differential diagnosis</h4><p>For an air-fluid level on plain film consider</p><ul>- +</ul><h4>Radiographic features</h4><h5>Plain radiograph</h5><p>On an erect chest radiograph, recognition of hydropneumothorax can be rather easy - and is classically shown as an air-fluid level. On the supine radiograph, this may be more challenging where a sharp pleural line is bordered by increased opacity lateral to it within the pleural space may sometimes suggest towards the diagnosis <sup>3,4</sup>. </p><h4>Differential diagnosis</h4><p>For an air-fluid level on plain film consider</p><ul>
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