Pulmonary interstitial emphysema

Case contributed by Hisham Alwakkaa , 8 Mar 2018
Diagnosis certain
Changed by Henry Knipe, 9 Mar 2018

Updates to Study Attributes

Modality was set to X-ray.
Findings was added:

On the 20 hours radiograph, both lungs are normally inflated, and there is near complete resolution of the pulmonary interstitial emphysema. Bilateral patchy hazy opacification related to respiratory stress syndrome is again identified.

Images Changes:

Image 1 X-ray ( update )

Position was set to .

Updates to Study Attributes

Findings was changed:

Two subsequent chest radiographs were taken approximately after 8 & 20 hours from the initial image and switching from conventional mechanical ventilation to high frequency jet ventilation.

On the 8 hours radiograph, there is interval placement of chest tube on the left side with nearly complete resolution of the pneumothorax. Diffuse branching radiolucencies now evident, after the re-expansion of the left lung, representing pulmonary interstitial emphysema, which is the underlying cause for the previously seen pneumothorax. In addition, the right lung is less expanded with dramatic decrease in the branching radiolucencies through the right lung. Bilateral patchy hazy opacification related to respiratory stress syndrome is also evident.

On the 20 hours radiograph, both lungs are normally inflated, and there is nearly complete resolution of the pulmonary interstitial emphysema. Bilateral patchy hazy opacification related to respiratory stress syndrome is again identified.

Updates to Freetext Attributes

Description was added:

Two subsequent chest radiographs were taken approximately after 8 and 20 hours from the initial image and switching from conventional mechanical ventilation to high-frequency jet ventilation.

Updates to Case Attributes

Body was changed:

This is a case is a perfectclassic example to show pulmonary interstitial emphysema (PIE) complicated by pneumothorax. In addition, it demonstrates the dramatic improvement that can happen after switching from conventional mechanical ventilation to high-frequency ventilation as a treatment for PIE.

  • -<p>This is a case is a perfect example to show pulmonary interstitial emphysema (PIE) complicated by pneumothorax. In addition, it demonstrates the dramatic improvement that can happen after switching from conventional mechanical ventilation to high-frequency ventilation as a treatment for PIE.</p>
  • +<p>This is a case is a classic example to show pulmonary interstitial emphysema (PIE) complicated by pneumothorax. In addition, it demonstrates the dramatic improvement that can happen after switching from conventional mechanical ventilation to high-frequency ventilation as a treatment for PIE.</p>

Tags changed:

  • neonatal
  • neonate
  • neonatal pneumothorax

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