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301 Possible Causes for Mediastinal Shift

  • Diaphragmatic Eventration

    In adults, mostly it is asymptomatic, usually it involves left hemidiaphragm with right sided mediastinal shift [ 1 ].[omicsonline.org] 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] .[archintsurg.org] Chest radiography was revealed total elevation of the right dome in 3 cases and of the left dome in 2 cases above the fourth intercostal space (figure1) and a mediastinal[latunisiemedicale.com]

  • Scimitar Syndrome

    Mediastinal shift to the right with dextroversion of the heart.[slideshare.net] Chest radiography showed volume loss of the right lung with mediastinal shift to the right and opacification of the right hemithorax.[sajr.org.za] 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[radiopaedia.org]

  • Tension Pneumothorax

    He was clinically stable without hypoxia or hypotension, and the initial chest x-ray study showed a large pneumothorax without mediastinal shift.[ncbi.nlm.nih.gov] If not relieved, it can lead to lung collapse and mediastinal shift.[medical-dictionary.thefreedictionary.com] On admission, chest X-rays showed a significantly raised left hemidiaphragm and mediastinal shift, but the possibility of a diaphragmatic hernia with strangulated bowel in[ncbi.nlm.nih.gov]

  • Bronchial Obstruction

    We describe a patient with a glomus tumour of the left main bronchus, who presented with mediastinal shift and lung atelectasis, treated by left upper sleeve lobectomy.[ncbi.nlm.nih.gov] Computed tomography revealed a large endobronchial lesion causing occlusion of the left main bronchus and significant mediastinal shift to the left.[ncbi.nlm.nih.gov] 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.[radiopaedia.org]

  • Dextrocardia

    Combined spontaneous contralateral pneumothorax and post-pneumonectomy mediastinal shift-associated dextrocardia. Thorac Cardiovasc Surg. 2011 Feb; 59(1):60-2.[connects.catalyst.harvard.edu]

  • Malignant Pleural Effusion

    Chest radiograph reveals right upper lobe collapse and a moderate sized right-sided pleural effusion with no mediastinal shift.[clevelandclinicmeded.com] Only symptomatic patients having massive and recurrent collection with mediastinal shift to opposite side responds best to pleurodesis.[lungindia.com] Of note, in case of unilateral MPE, a mediastinal shift may occur and cause compression of the contralateral lung.[symptoma.com]

  • Obstructive Atelectasis

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

  • Lobectomy or Pneumonectomy

    This is the report describing neonatal emergency lobectomy in patients with CLC evaluated by fetal MRI using the lung volume ratio and mediastinal shift.[ncbi.nlm.nih.gov] CT The lung is absent at the side of surgery, with resultant mediastinal shift and compensatory hyperinflation of the contralateral lung.[radiopaedia.org] 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[passpaces.com]

  • Artificial Pneumothorax

    shift.[healthfrom.com] Marked depression of the right hemidiaphragm is noted, and mediastinal shift is to the left side, suggestive of tension pneumothorax.[emedicine.medscape.com] 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[healthfrom.com]

  • Splenic Cyst

    Radiological examination X-ray chest: normal lung fields, no pleural effusion, no hemopnemothorax, no fracture ribs, no mediastinal shift.[medcraveonline.com]

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