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Related Experiment Videos

Subpulmonary pneumothorax.

A Schulman, R B Dalrymple

    The British Journal of Radiology
    |July 1, 1978
    PubMed
    Summary

    Subpulmonary pneumothorax, a rare condition, presents as a basal radiolucent band. This finding requires differentiation from other conditions, especially when complicated by hemothorax.

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    Area of Science:

    • Radiology
    • Thoracic Surgery
    • Emergency Medicine

    Background:

    • Subpulmonary pneumothorax is an uncommon condition.
    • It is characterized by air in the pleural space beneath the lung base.
    • Its rarity is attributed to the typical locations of common pneumothorax etiologies.

    Purpose of the Study:

    • To describe the imaging characteristics of subpulmonary pneumothorax.
    • To highlight its association with various injuries and conditions.
    • To discuss differential diagnoses and diagnostic imaging modalities.

    Main Methods:

    • Presentation of seven cases of subpulmonary pneumothorax.
    • Review of radiographic findings.
    • Discussion of differential diagnoses including diaphragmatic herniation and pneumatocele.

    Main Results:

    • Typical appearance: basal radiolucency bordered by visceral pleura, parallel to the diaphragm.
    • Etiologies included penetrating trauma (4 cases), blunt trauma (2 cases), and osteosarcoma metastasis (1 case).
    • Partially clotted blood can alter the typical appearance, necessitating further imaging.

    Conclusions:

    • Subpulmonary pneumothorax has a distinct radiographic appearance.
    • It can result from trauma or malignancy.
    • Differential diagnosis is crucial, employing barium studies and decubitus radiographs when necessary.

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