Pneumothorax vs Lung Collapse
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- Опубліковано 29 лип 2024
- Just a quick video explaining the difference between the terms lung collapse and pneumothorax.
Textbooks I like for chest radiology-
Med students and all residents: Felson’s Principles of Chest Roentgenology
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Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
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Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
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00:00 Introduction
00:28 Definition of terms
01:53 Lung collapse without pneumothorax
02:53 Pleural effusion without pneumothorax
03:46 Collapse with pneumothorax
04:13 Pneumothorax without collapse
04:31 Summary
Ive had pneumothorax two times now with 13-14 years inbetween both times. I went through surgery last week after i hesitated to do the surgery because of the risks associated with being put in artificial coma (probably not the right term in english). You're told theres always a risk and so doctors cant guarantee you'll make it, but when i woke up and the first words i heard was "Surgery was successful", i didnt regret it for a second. I was just happy as a clam, making bad jokes and thanking everyone i saw around me. Im still connected to a cardiothoracic drainage with 2 tubes going out from my right chest, but im gonna live, im gonna LIVE!! :D
👍🏽 glad you're doing better!!
What’s your age? I may be going through this but don’t want to go to the icu in case I’m wrong. Lots of ice for pain tonight. I’m trying to figure out best way to sleep 🛌 while watching these videos in bed. I suspect a sleeping pill.
@@navigatingsideways Dude. Call the paramedics if u suspect a collapse, its a serious condition if you struggle to breathe, you should check it out. Im 36 years old btw, spent almost 3 weeks in a hospital with tubes after surgery.
@@navigatingsideways My body was crumbling down unable to straighten myself out and breathe properly, dont take painkillers to sleep off something that may require more attention, for your own health.
@@EricTheBroBean I went to urgent care. They told me 98 for oxygen in the blood. 95 is bad 100 is good. The clinic didn’t have a CT unit only X-Ray unit. I’ve noticed back is extremely poor in morning and night. My shortness of breath is at night and morning but I skipped my holiday party today at work. Too much body pain. When focused my pain in my back is less noticeable because I was focused on driving back to my home state. Nonetheless, it’s not 100 💯 not even close. We’ll see where I’m at tomorrow. My Mom just tried to massage my neck and then my lower back started hurting. Breathing is better this evening. Hot tub or ice 🧊 will happen again. We’ll see where I’m at tomorrow. I get hungry but esophagus was sore this morning but mild having soup tonight. I’m going to doctor as scheduled for Monday unless ship hits the fan tomorrow or Sunday. I’m 43
thank you. Its nice when you find a concise YT video covering a specific question you had
This was by far the best explanation I've ever seen regarding lung collapse, tysm
Thankyuuu so much i been confuse the whole day thinking how a pneumothorax can have a opacity on the same side without having air dark area , you just cleared my confusion so easily,I actually ask my teacher but she wouldn’t give a clear reason like how you gave 👍🏻
Goodness, I love knowledgable people. Thanks a bunch. Developing an interest in radiology and this was great.
Best explanation about collapse lung! Thank you sir
This was so, so well explained. Thank you so much!
Thank you. This helped my understanding and anxiety about my pneumothorax
literally the best video on youtube
superclear explanations !! Thanks a lot sir!
This is an amazing explanation! Thanks for making this video
Wow, I can't believe it is free, thanks Rishi 🙏😊. I am from punjab, India.
Many thanks for this excellent explanation. One thing to bear in mind: Brock syndrome. This is where an enlarge lymph node causes compression of the RML bronchs, and it's occasionally seen on chest X rays.
just had 2 surgeries from a spontaneous pneumothorax while i was playing basketball lightly on my driveway, thank you for explaining.
How long did you have to stay in the hospital?
6 days, but i need 4-6 weeks to be fully healed@@jadalynnn2583
Usually 5-7 days
Thank you, so clear !
Very informative... best explanation... thank you so much...
Very well explain , did not no , the many Pneumothorax . Thank you 🙏 .
Awesome video! I’ve had two pneumothorax’s and would definitely like to see what my X-rays looked like lol
this was so helpful! thank you
Fantastic explanation
Good explanation. Thank you
Thank you! Very helpful! Godspeed!
Very nice description
This was so helpful!
Great explanation sir
Im so thanking u sir i learnt some basic things i missed in x ray interpretation 😊😊😊
1:53 BRONCHIAL CUT OFF SIGN IN COLLAPSE LUNG 2:51 PLEURAL EFFUSION WITH COLLAPSED LUNG 3:45 PNEUMOTHORAX WITH COLLAPSED RIGHT LUNG 4:13 ANOTHER CASE OF PNEUMOTHORAX
thank you so much!!
thank you, you are the best!
thank you, glad it was helpful
Perfect, perfect, perfect!!!
Can you explain the same concepts on CT ?
Please please please make more videos
My med uni is a complete garbage I'm pretty not smart and I need good explanations with visualization
Like yours
Thank you so much
I'm so glad I found your channel
Из какого ты уни? Я всё планирую делать подобные видео, но пока только по АиГ делал.
Thanks,how can differente between enlarged lymph nodes around pulmonary artery and pulmonary embolism
I’ll try to do more. To differentiate between pulmonary embolism and lymph nodes, you can use the coronal and sagittal images if there is a question.
I am from Northwestern university.
Great video!! Thank you
Thank you!
How long can I deal with this potential diagnosis. Pneumomeidustinum?
thanks
Most of my right lung is covered in consolidation and ground glass opacity's and nodule's currently so this is what the doctor meant as at risk of collapsed lung....I didn't realize the difference between that and a pneumothorax.
What if a person has pulmonary fibrosis and got pneumothorax. What is the survival rate?
Hi. I am not able to understand how in the first xray of collapsed lung without effusion shows hemithorax opacity? Why it's white instead of dark?
And how can a pnuemothorax be without collapsed lung? Because if there's a leakage in the pleural space then it means that there's a damage in alveoli too and so that's called atelectasis right?(because a leakage could only happen if an alveoli is leaked/damaged) Damage of the alveoli causes deflation of alveoli and hence atelectasis and then pnuemothorax right?
Great video, do you have any advice RE describing lung lesions? Finding it hard to wrap my head around it it..
One resource I would point you to is the Fleischner Society: Glossary of Terms for Thoracic Imaging. It has all the terms we use in thoracic imaging.
This was wow
thank you freind
Hello I wonder had a ct , said I had tiny mesenteric lymphnodes with adjacent fat stranding . Is this normal? Radiology said no pathological lymphdapthy by size criteria.
Hi, I can't say for sure just based on your description. I would recommend talking to your doctor about next steps (if any).
Beautiful
Brilliant!!! in case of repeat cxr to ensure if there is occult pneumothorax, do you recommend erect position with
inspiration or expiration? Thanks.
I know that the textbooks say expiration is helpful to see the pneumothorax, but we just do regular inspiration and that seems to work fine. Yes erect if possible.
Wonderfull
thoughout the video, I thought all of the images are normal, until you made demarcations. tysm for the emphasis!
thnks
Wonderful
Thank you
Need to go in 😢
Are the terms collapsed lung and atelectasis interchangeable?
Yeah if you say complete lung atelectasis, that's the same as complete lung collapse. If you just say atelectasis without saying how much, most of the time people assume it is mild atelectasis.
I had a cat scan due to my kidney hurting real bad. I had to go to the ER. When they ran the catscan on the paper it said I had a partly collapsed lung. But they didn't even tell me. I have been having pain in my left rips. Its been a while now. Almost a year and it's hurting a lot more. I dont have insurance though. So idk what to do. Thank you for the video.
Hi, tough to say what it could mean without more context, but I think it should probably warrant a follow up. Do you have a primary doctor? I would talk to them about it. Thx.
Unless you wanna die I would suggest getting that shit fixed, the hospital debt doesn't go on your credit score jit
1:54 whats in the neck? pins & screws from a car accident? on patient's left is it a central line? great vid thank u
That's spinal fusion hardware.
@@ThoracicRadiology thank you. that appears painful. I had a central line but didnt know if it appeared on xray.
How can we diagnose a subtle pneumothorax using conventional X-Ray in a bed-ridden patient ?
If the patient can be put upright, even very small pneumothorax can be detected on portable CXR. If the patient is supine, it is usually very difficult unless a deep sulcus sign is present. Ultrasound has proven a useful tool as well but requires an experienced operator.
Is it possible to have chronic pneumothorax for many years almost everyday? With some mild discomfort but then strong discomfort, like on and off ?
Yeah there are certain things that can do that. Do you have endometriosis?
@@ThoracicRadiology I have endo and I have had 2 complete pneumothorax (one on each side) in the past 7 months. Can endo cause this? The last one happened about a week before my period 🤔
@@V-Bug Yeah it can but it is rare. There are other things that can do it. Have you had a chest CT?
My son diagnosed with rigjt lung pneumothorax yesterday. They put tube and he still at the hospital, I am really worry for his life. How much is survival rate?
It depends on if there are other problems other than the pneumothorax. If it is just a pneumothorax by itself (spontaneous pneumothorax), the prognosis is excellent
My grandma had 3 cancers. One included collapsed lung. She would be talking to us then breathe and convulse her head and chest for 3 seconds, her bottom jaw and lip would quiver, stare blankly, then go back to talking until it happened again. Is this something that happens with a collapsed lung?
No, that doesn't seem like it fits with pneumothorax. Most ppl have cough, chest pain, difficulty breathing.
Should you have an expiration chest x ray or would an normal inspiration x ray be enough to detect pneumothorax?
Normal inspiration is enough
Thank you very much
you are a god
Doc, But what about passive atelectasis? isn't a term to define both pleural effusion and big pneumothorax?
Yes you can use that term in those conditions. If I am using the term atelectasis, I think it is helpful to put a descriptive term to define how much atelectasis you are seeing. For example, is it mild, subsegmental, lobar, or the entire lung? The person reading the report may not look at the images, so it is a good idea to give some idea how much atelectasis there is.
Can you tell me about the findings of my xray it says Parenchymal fibrosis vs subsegmental atelectasis left upper. Is it possible that its just a poor xray procedure or can i just repeat it? What does that mean? Coz I have yearly xray and every year my xray was perfectly normal, its just now that i got this findings. Is it serious? Im worried!
Hi, my brother went to the emrgency room yesterday with Pneumothorax and they wanted to do the procedure on him but he refused and came back home. He's stubern and keeps saying that this had happened to him in the past and it went away. Is this true? can this heal itself?
Yeah it can heal itself but if he already had pneumothorax once before he should talk to his doc about options and possible causes
@@ThoracicRadiology Hi again, my brother had a surgery to patch his lung, but the surgent removed some blebs but couldn't find the leak to patch, so he's still in the hospital with a tube between his ribs to empty the air in his chest. The medical team are planing to remove the tube and discharge him and hope the leak in the lung will heal itself. Is this the way it's done? as it sure doesn't sound right to me. I mean the goal of the surgery was to patch a leak and they didn't yet they're calling the surgery a success.
@@ndenkha sounds right to me. The blebs are the usual cause of the leak. If it happens again they can do something called a pleurodesis.
@@ThoracicRadiology Thank you for the quick response!
its bloody awful, 5 times it happened to me over 12 months, am just pleased they got my lung stuck back to the rib cage now and those zephyr valves are still preventing a collapse,
Did they "glue" ur lung to ur chest wall? I'm supposed to have that done idk sounds painful but so is a collapsed lung
@@carlieshayyysweeney4898 they used a powder on my husband he has a rare disease that he get blebs that pop hes had 3 surgeries and everytime its been a powder that helps stick lungs in place
My x ray shows un elevation of the diaphragm and deviated of the trachea !!! And dr. Says in the report normal looking chest 😂😂😂😂😂😂😂
Why is it called a bleb?
A bleb is like a small air bubble at the edge of the lung measuring up to 1 cm. I don't actually know why it's called a bleb though.
@@ThoracicRadiology My surgeon didnt know either.
His best guess was perhaps a Dr Bleb discovered them. I would really like to know.
Can someone survive twelve hours with a lung punctured by a rib? No treatment
Yes I believe they could. If the pneumothorax was not a tension type then it wouldn't necessarily collapse the lung or compress the heart. Eventually the hole would heal and the air would be resorbed.
@@ThoracicRadiology Ohh okay. Thank you. That might have seemed like a weird question lol I asked because of a story I'm reading.
here because i got back 2 back pneumthorax hahaha.
I've had two. It's spontaneous pneumothorax. Just because I was borne skinny and tall. Scares me
I didnt know British PM is also a doctor
😂
This narrator speaks in a shockingly similar nature to Kizzume from JimCan'tSwim
😂😂
it's 4am and i can't sleep i think i have collapsed my lung
My sweet wife in age of 35 die due to lungs and left me a d my four little children 9 day last child
A Collapse LUNG is a Collapse LUNG 🫁..😂😂😂😂😂
Lol i had both
glad you made it through that!
Ty😅 it was not fun but it's nice to see a detailed explanation of what I had