Archive for the ‘Roentgenography’ Category

Portable chest roentgenograms are used regularly to provide useful information about chest pathologic findings in critically ill patients. However, several different types of pathologic conditions are commonly missed on the portable chest roentgenogram. A pneumothorax can be very difficult to identify on supine AP x-ray films because the air may disperse widely throughout the pleural […]

The portable lateral film, like the decubitus films, are not often obtained in the ICUs but can better delineate the costophrenic sulci and the frequently obscured lower lobes to advantage. The lateral film is particularly useful when only one lower lobe is involved since the normal lung can provide a window to the opposite lung […]

Case 2 A 68-year-old woman had previously undergone multiple surgical procedures for peptic ulcer disease. She developed a recurrent upper gastrointestinal hemorrhage and underwent laparotomy at a local hospital. When this procedure did not reveal the source of bleeding, the patient was transferred to our hospital in hypovolemic shock. A left thoracotomy was performed, and […]

Case 1 A 38-year-old morbidly obese woman underwent a subtotal small bowel resection at her local hospital for intestinal infarction due to polyarteritis nodosa. She subsequently developed sepsis and pulmonary insufficiency and was transferred to our hospital, After hemodynamic stabilization, a laparotomy, with near-total small bowel resection and drainage of intra-abdominal abscesses, was performed. Postoperatively, […]

The portable chest roentgenogram is one of the most frequent and effective diagnostic examinations used in the intensive care unit. It is easily obtained and frequently demonstrates most pathologic conditions, but does have shortcomings. Because a significant portion of the lower lobes lie below the diaphragmatic domes, pathologic findings in these areas may be obscured […]