Pulmonary contusion chest x ray
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
X-ray
Chest X-ray is the most common method used for diagnosis,[1] and may be used to confirm a diagnosis already made using clinical signs.[2] Consolidated areas appear white on an X-ray film.[3] Contusion is not typically restricted by the anatomical boundaries of the lobes or segments of the lung.[4][5][6] The X-ray appearance of pulmonary contusion is similar to that of aspiration,[7] and the presence ofhemothorax or pneumothorax may obscure the contusion on a radiograph.[8] Signs of contusion that progress after 48 hours post-injury are likely to be actually due to aspiration, pneumonia, or ARDS.[9]
Although chest radiography is an important part of the diagnosis, it is often not sensitive enough to detect the condition early after the injury.[10] In a third of cases, pulmonary contusion is not visible on the first chest radiograph performed.[11] It takes an average of six hours for the characteristic white regions to show up on a chest X-ray, and the contusion may not become apparent for 48 hours.[11][4][5] When a pulmonary contusion is apparent in an X-ray, it suggests that the trauma to the chest was severe and that a CT scan might reveal other injuries that were missed with X-ray.[12]
References
- ↑ Invalid
<ref>tag; no text was provided for refs namedKlein02 - ↑ Cohn SM (1997). "Pulmonary contusion: Review of the clinical entity". Journal of Trauma. 42 (5): 973–979. PMID 9191684.
- ↑ Fish RM (2003). "Diagnosis and treatment of blast injury". In Fish RM, Geddes LA, Babbs CF. Medical and Bioengineering Aspects of Electrical Injuries. Tucson, AZ: Lawyers & Judges Publishing. p. 55. ISBN 1-930056-08-7.
- ↑ 4.0 4.1 Invalid
<ref>tag; no text was provided for refs namedAllen96 - ↑ 5.0 5.1 Invalid
<ref>tag; no text was provided for refs namedJohnson08 - ↑ Donnelly LF (2002). "CT of Acute pulmonary infection/trauma". In Strife JL, Lucaya J. Pediatric Chest Imaging: Chest Imaging in Infants and Children. Berlin: Springer. p. 123. ISBN 3-540-43557-3.
- ↑ Invalid
<ref>tag; no text was provided for refs namedSartorelli04 - ↑ Invalid
<ref>tag; no text was provided for refs namedWhite99 - ↑ Invalid
<ref>tag; no text was provided for refs namedHood89 - ↑ Invalid
<ref>tag; no text was provided for refs namedKeough01 - ↑ 11.0 11.1 Wanek S, Mayberry JC (2004). "Blunt thoracic trauma: Flail chest, pulmonary contusion, and blast injury". Critical Care Clinics. 20 (1): 71–81. doi:10.1016/S0749-0704(03)00098-8. PMID 14979330. Unknown parameter
|month=ignored (help) - ↑ Wicky S, Wintermark M, Schnyder P, Capasso P, Denys A (2000). "Imaging of blunt chest trauma". European Radiology. 10 (10): 1524–1538. PMID 11044920.
- ↑ Le Guen M, Beigelman C, Bouhemad B, Wenjïe Y, Marmion F, Rouby JJ (2007). "Chest computed tomography with multiplanar reformatted images for diagnosing traumatic bronchial rupture: A case report". Critical Care. 11 (5): R94. doi:10.1186/cc6109. PMID 17767714.