A 21 year old man with a retropharyngeal abscess complained of right sided chest pain, and chest radiography and thoracocentesis revealed an empyema. A computed tomographic scan of the chest showed a posterior mediastinal abscess communicating with the right pleural cavity. Emergency thoracotomy was performed and the mediastinal abscess and empyema were drained.

A 58 year old man experienced an attack of squeezing chest pain. A contrast enhanced computed tomographic scan showed acute dissection of the descending aorta. Treatment with metoprolol and nicardipine kept his blood pressure below 130/90 mm Hg while he was supine at rest and after walking. Serial contrast enhanced computed tomographic scans showed opacification of the false lumen (which was no...

A 51-YEAR-OLD white man with a 45-year history of smoking was noted to have an abnormality on a routine chest x-ray. He denied any history of cough, sputum production, chest pain, dyspnea, weight loss, weakness, or tuberculosis. There was no previous chest x-ray available for comparison. The patient’s physical examination results were unremarkable. His chest x-ray is shown in Figure 1 and a com...

A 66-year-old man presented with anorexia, unexplained weight loss, worsening shortness of breath, and atrial fibrillation. Ten years before this presentation, he had undergone urgent aortic root replacement to treat an acute type A aortic dissection at a different center. Clinical examination revealed a systolic murmur (grade 3/6) and an early diastolic murmur. An initial chest radiograph did ...

The patient was 35-year-old women with a six-month history of difficulty breathing and chest pain. An anterior-posterior chest radiograph revealed a widened mediastinum with small lung volumes. During his diagnostic evaluation, a computed tomographic scan was performed and with huge mass in the anterior mediastinum with extension to the left and right side of pleural space. With postero-lateral...

From about two years he was followed for pulmonary hypertension in patients symptomatic for exertional dyspnea (NYHA class II). Performed chest Computed Tomographic (CT) scan that showed no pulmonary thromboembolism (TEP). Pulmonary Artery diameter: 35 mm. Aorta with atheromatous plaques. Multiple mixedtype ulcerated, mainly to ‘bow and downslope. Presence of isolated bubbles of emphysema in th...

conclusions in cases of pontaneous pneumothorax, chest x ray and computerised tomographic scan have limitations. ct scan in combination with video assisted thoracoscopic surgery improves diagnostic accuracy and facilitates appropriate management of non-resolving spontaneous pneumothorax. objectives a 15 year old boy presented to the referring hospital with a right sided spontaneous pneumothorax...

Cerebral air embolism (CAE) is a common, often lethal, complication in blunt and penetrating chest trauma. The factors affecting the outcome of CAE patients are poorly understood, and there is no generally accepted treatment algorithm. In this report, we present the case of a 28-year-old male motorcyclist with a massive CAE, including bilateral internal carotid artery air on computed tomographi...