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A reduction in the size of one side of the chest (hemithorax) on an X-ray or CT scan of the chest suggests chronic scarring. [6] Signs of the underlying disease causing the fibrothorax are also occasionally seen on the X-ray. [6] A CT scan may show features similar to those seen on a plain X-ray. [7]
Associated findings such as air surrounding other mediastinal structures, such as the esophagus or great vessels may be present. Subcutaneous emphysema or air tracking into the neck may also be seen. This sign may also be diagnosed in X-ray images, although the sensitivity is much lower than that of CT. [4]
Emphysema is a respiratory disease of the lower respiratory tract. [7] It is commonly caused by tobacco smoking but some people are affected who have never smoked. [14] The presence of emphysema is a clear risk factor for lung cancer, made stronger in those who smoke. [20] Early symptoms of emphysema vary.
Signs and symptoms of spontaneous subcutaneous emphysema vary based on the cause, but it is often associated with swelling of the neck and chest pain, and may also involve sore throat, neck pain, difficulty swallowing, wheezing and difficulty breathing. [5] Chest X-rays may show air in the mediastinum, the middle of the chest cavity. [5]
Hamman's sign (rarely, Hammond's sign [1] or Hammond's crunch [2]) is a medical sign consisting of a crunching, rasping sound, synchronous with the heartbeat, [3] heard over the precordium in spontaneous mediastinal emphysema. It is thought to result from the heart beating against air-filled tissues.
After obtaining the patient's respiratory rate, the examiner looks for any signs of respiratory distress, which may include: Cyanosis, a bluish tinge of the extremities (peripheral cyanosis), or of tongue (central cyanosis) [4] Pursed-lip breathing [5] Accessory muscle use, including the scalene and intercostal muscles [5]
Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis , or a neoplastic process . [ 1 ]
Hamman's syndrome, also known as Macklin's syndrome, is a syndrome of spontaneous subcutaneous emphysema [1] (air in the subcutaneous tissues of the skin) and pneumomediastinum (air in the mediastinum, the center of the chest cavity), sometimes associated with pain and, less commonly, dyspnea (difficulty breathing), dysphonia, and a low-grade fever.