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309 Possible Causes for Mediastinal Shift

  • Diaphragmatic Eventration

    A mediastinal shift to the contralateral side may cause significant compression of the affected chest contents, resulting in compromised pulmonary function, especially when[] In adults, mostly it is asymptomatic, usually it involves left hemidiaphragm with right sided mediastinal shift [ 1 ].[] His chest radiograph showed a raised left diaphragmatic dome with a gastric shadow obliterating the left lung field and mediastinal shift to the right [Figure 1] .[]

  • Tension Pneumothorax

    He was clinically stable without hypoxia or hypotension, and the initial chest x-ray study showed a large pneumothorax without mediastinal shift.[] If not relieved, it can lead to lung collapse and mediastinal shift.[] Giant bulla may mimic TPX with wide radiolucent view and mediastinal shift. The present report includes giant pulmonary bulla in 35-year-old woman.[]

  • Scimitar Syndrome

    Mediastinal shift to the right with dextroversion of the heart.[] Chest radiography showed volume loss of the right lung with mediastinal shift to the right and opacification of the right hemithorax.[] Plain radiograph Chest radiographic findings are that of a small lung with ipsilateral mediastinal shift, and in one-third of cases, the anomalous draining vein may be seen[]

  • Malignant Pleural Effusion

    A patient presented to the emergency department with a malignant pleural effusion associated with shortness of breath, and radiographic evidence of mediastinal shift and hypotension[] Chest radiograph reveals right upper lobe collapse and a moderate sized right-sided pleural effusion with no mediastinal shift.[] Only symptomatic patients having massive and recurrent collection with mediastinal shift to opposite side responds best to pleurodesis.[]

  • Bronchial Obstruction

    Computed tomography revealed a large endobronchial lesion causing occlusion of the left main bronchus and significant mediastinal shift to the left.[] Conclusion: Obstruction of the right main bronchus by a soft tissue mass resulting in airless "drowned" right lung with subsequent volume loss and mediastinal shift.[] Chest radiography reveals left-sided volume loss with mediastinal shift and multifocal heterogeneous opacities within the mid-lower left lung field.[]

  • Obstructive Atelectasis

    shift ipsilateral tracheal deviation ipsilateral shift of the heart Promoted articles (advertising)[] Repeat chest radiograph revealed white out of the right hemi-thorax with tracheal and mediastinal shift to right [Figure 2] a.[] Chest X-ray revealed atelectasis of the right upper lobe (RUL) with ipsilateral mediastinal shift ( Fig. 1 ). X-ray on admission was normal.[]

  • Lobectomy or Pneumonectomy

    CT The lung is absent at the side of surgery, with resultant mediastinal shift and compensatory hyperinflation of the contralateral lung. Promoted articles (advertising)[] Second point, there may be no sign to suggest mediastinal shift in lobectomy ( central trachea) but in penumonectomy, you are expected to find signs suggesting mediastinal[] A fistula between the bronchus and pleura sometimes occurs, leading to subcutaneous emphysema and mediastinal shift caused by a massive air leak.[]

  • Artificial Pneumothorax

    shift.[] Another can also be complicated by liquid pneumothorax, bronchial pleural fistula, not timely treatment due to lung atrophy and mediastinal pressure shift caused by acute[] In determining the treatment program, should consider the symptoms, signs, X-ray changes (the degree of lung compression, with or without mediastinal shift), pleural cavity[]

  • Ewing's Sarcoma

    There was an evident mediastinal shift, and the left lung was collapsed.[]

  • Cystic Lung Disease

    Mediastinal shift was present in 30 fetuses (45%). Severe signs of fetal distress (eg, hydrops) were present in 5 fetuses (7%).[] Mediastinal shift was present in 14 fetuses. Fetal hydrops was present in 5 fetuses.[] Other features may include mediastinal shift, pleural and pericardial effusions and pneumothoraces.[]

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