Respiratory failure chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Hadeel Maksoud M.D.[2]

Overview

An x-ray may be helpful in establishing the etiology of respiratory failure as it may detect underlying disease. Findings on an x-ray suggestive of pre-existing COPD include hyperinflation and a flattened diaphragm. X-ray findings suggestive of interstitial lung disease include reticular nodular shadows. Finally, thoracic cage abnormalities may be detected such as kyphosis, scoliosis, pectus excavatum, fractured ribs and ankylosing spondylitis, as well as diaphragmatic paralysis.

X Ray

  • An x-ray may be helpful in the diagnosis of respiratory failure as it may detect underlying disease.[1]
  • Findings on an x-ray suggestive of pre-existing COPD include:
    • Hyperinflation
    • Flattened diaphragm
  • Findings on x-ray suggestive of interstitial lung disease include:
    • Reticular nodular shadows
  • Findings on x-ray suggestive of thoracic cage abnormalities include:


References

  1. Gabriel E, Shah R, Attwood K, Kukar M, Hochwald S (April 2018). "The first postesophagectomy chest X-ray predicts respiratory failure and the need for tracheostomy". J. Surg. Res. 224: 89–96. doi:10.1016/j.jss.2017.11.057. PMID 29506857.

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