How to differentiate emphysema and pneumothorax on chest-Xray !!???
We are expected to see hyper-translucent lung in these both conditions, however how can we differentiate them??
Emphysema:
- hyperinflation lung ( lung field is more than 6 anterior ribs)
-tubular heart or narrow heart
-bilateral involvement
-straight diaphragm ( more clearly seen in lateral view of Cxr)
-bleb of air seen
-increase AP diameter
Pneumothorax:
-hyper-translucent but not hyper-inflated
-no narrowing of heart
-seldom bilateral involved
-collapsed lung border can be seen
Yayyy!!! my first post and it is so randomly done as I'm studying Cxr right now. Hope that help, do correct me if I made a mistake :) cheers :)
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