A Case of Unilateral Hyperlucency on Chest X-Ray- A Diagnostic Dilemma
Published: August 1, 2020 | DOI: https://doi.org/10.7860/JCDR/2020/44719.13938
Nafees Ahmad Khan, Mohammad Arif, Rakesh Bhargava, Mohammad Shameem, Sadaf Sultana
1. Assistant Professor, Department of Pulmonary Medicine, Jawaharlal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India.
2. Senior Resident, Department of Pulmonary Medicine, Jawaharlal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India.
3. Professor, Department of Pulmonary Medicine, Jawaharlal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India.
4. Professor, Department of Pulmonary Medicine, Jawaharlal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India.
5. Junior Resident, Department of Radiodiagnosis, Jawaharlal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India.
Correspondence
Mohammad Arif,
Flat No. 305, IT Grand Apartment, Medical Road, Zakariya Market, Aligarh, Uttar Pradesh, India.
E-mail: arif2k10@gmail.com
Unilateral hyperlucency of the lung is not an uncommon finding which arises from a variety of conditions, like technical, congenital and acquired. Here, the author presents a case of diaphragmatic hernia which presented as unilateral hyperlucency on chest radiography. A 45-year-old female, presented with complaint of shortness of breath for 2-3 years, increased since 15 days and pain in abdomen for 2-3 years. She consulted a doctor where a chest X-ray was done and was advised Intercostal tube insertion with the diagnosis of left-sided pneumothorax and was referred to us for further management. Instead of her vitals were stable on examination. On auscultation, breath sounds were of decreased intensity. A chest X-ray was then done which showed unilateral hyperlucency of the left side with the presence of air fluid level. The CECT thorax showed a large diaphragmatic hernia through which the large intestine and stomach were occupying the left hemithorax. Therefore, a thorough evaluation should be done before reaching a definitive diagnosis in such patients
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