Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Radiological Case of the Month

Radiological Case of the Month Abstract CLINICAL HISTORY.—This 11-year-old white girl was admitted to the University of Virginia Hospital with a history of asthma since infancy. She had three prior admissions for pulmonary infections, sino- bronchitis, and atopic eczema. The present admission was occasioned by a severe asthmatic attack of three days' duration. At the time of physical examination, the patient was in moderate respiratory distress with evidence of intercostal retraction and use of accessory muscles of inspiration. The chest was hyperexpanded with high pitched inspiratory and expiratory changes heard throughout both lungs. Chest radiographs were obtained. DENOUEMENT AND DISCUSSION SPONTANEOUS PNEUMOMEDIASTINUM IN ASTHMA The lateral projection of the chest shows the classic appearance of pneumomediastinum, with the anterior and interior surfaces of the thymus outlined by air. The air also outlines the anterior surface of the heart and extends in streaks into the superior mediastinal soft tissues. The left mediastinal pleura is slightly displaced laterally, References 1. Ozonoff, M.B.: Pneumomediastinum Associated with Asthma and Pneumonia in Children , Amer J Roentgenol 95:112-117, (Sept) 1965.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Loading next page...
 
/lp/american-medical-association/radiological-case-of-the-month-qablKS5Q06
Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1966.02090140135013
Publisher site
See Article on Publisher Site

Abstract

Abstract CLINICAL HISTORY.—This 11-year-old white girl was admitted to the University of Virginia Hospital with a history of asthma since infancy. She had three prior admissions for pulmonary infections, sino- bronchitis, and atopic eczema. The present admission was occasioned by a severe asthmatic attack of three days' duration. At the time of physical examination, the patient was in moderate respiratory distress with evidence of intercostal retraction and use of accessory muscles of inspiration. The chest was hyperexpanded with high pitched inspiratory and expiratory changes heard throughout both lungs. Chest radiographs were obtained. DENOUEMENT AND DISCUSSION SPONTANEOUS PNEUMOMEDIASTINUM IN ASTHMA The lateral projection of the chest shows the classic appearance of pneumomediastinum, with the anterior and interior surfaces of the thymus outlined by air. The air also outlines the anterior surface of the heart and extends in streaks into the superior mediastinal soft tissues. The left mediastinal pleura is slightly displaced laterally, References 1. Ozonoff, M.B.: Pneumomediastinum Associated with Asthma and Pneumonia in Children , Amer J Roentgenol 95:112-117, (Sept) 1965.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Nov 1, 1966

References