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Detection of B lines in <2 areas per hemithorax or limited to one hemithorax indicates 'limited interstitial syndrome' and favours diagnosis of isolated pulmonary conditions, such as pneumonitis; in contrast, if B lines are present on at least two areas on both hemithoraxes, it favours the diagnosis of 'diffuse interstitial syndrome', such as pulmonary oedema or acute respiratory distress syndrome (ARDS).
This time he was found to have VP shunt migrated in left hemithorax and effusion was due to draining Cerebro Spinal Fluid (CSF).
The chest radiograph on admission revealed an area of hyperlucency containing air-fluid level in the lower 1/3 of the right lung area and an area of opacity in the lower 1/2 of the right hemithorax, with concave superior interface border (Figure 2).
In the thorax CT examination of the patient, however, free fluid accumulation was determined in consolidation area involving air bronchogram in lower lobe of right lung and amid pleural leaves in the right hemithorax and atelectatic area in the right medium lobe (Figure 2).
On physical examination, breath sounds from the right hemithorax were decreased while other systemic examination findings were normal.
A subsequent contrast-enhanced CT scan of the chest demonstrated a heterogeneous, lobulated, hypervascular mass in the right lower hemithorax measuring approximately 18x 18x 16 cm (CC, AP, transverse).
The aortic diameter correlates to fetal size more efficiently than any other anatomical structure and measurement should be taken in systole, on a longitudinal scan of the dorsal left hemithorax, in close proximity to the spinal cord of the fetus.
We categorised the size of pleural effusion on the chest radiograph into three categories: small (less than one-third of the hemithorax), moderate (one-third to two-thirds of the hemithorax) and large (more than two-thirds of the hemithorax).
Tube thoracostomy was performed in the left hemithorax, right hemithorax, and bilaterally in 53, 33, and 3 patients, respectively.
(ii) Case number 5 had three awns, one in left and 2 in right hemithorax;
The physical exam was remarkable for tachycardia, respiratory distress, decreased breath sounds in the right hemithorax, and lower extremity swelling.
Chest X-ray was revised by the general surgery service, finding a left basal opacity (contralateral hemithorax to the stab wound) (see Figure 2(a)) without evidence of right pneumothorax or hemothorax (ipsilateral hemithorax to the stab wound), so assessment by the internal medicine service was requested.
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