254 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] A chest X-ray revealed pneumoperitoneum, raised left diaphragm and right-sided mediastinal shift (Fig. 1).[sajs.redbricklibrary.com]

  • Scimitar Syndrome

    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] CXR findings are that of a small lung with ipsilateral mediastinal shift, and in one third of cases the anomalous draining vein may be seen as a tubular structure paralleling[wikidoc.org]

  • Bronchial Obstruction

    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] Chest radiography reveals left-sided volume loss with mediastinal shift and multifocal heterogeneous opacities within the mid-lower left lung field.[clevelandclinicmeded.com] Radiographic findings may demonstrate, endobronchial lesions, atelectasis , pneumonia , bronchiectasis and in some instances even mediastinal shift.[omicsonline.org]

  • 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]

  • Tension Pneumothorax

    If not relieved, it can lead to lung collapse and mediastinal shift.[medical-dictionary.thefreedictionary.com] Simple pneumothorax –no shift of the heart or mediastinal structures Imaging findings in pneumothorax Must see the visceral pleural white line Very thin white line that differs[learningradiology.com] A rotated chest film can both mimic and obscure a mediastinal shift.[dontforgetthebubbles.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

    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] A fistula between the bronchus and pleura sometimes occurs, leading to subcutaneous emphysema and mediastinal shift caused by a massive air leak.[medical-dictionary.thefreedictionary.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]

  • Cystic Lymphangioma

    Figure 1. a) Chest radiography showing a large basal opacity of the left lung silhouetting out the heart border and left hemidiaphragm, causing mediastinal shift. b) Chest[err.ersjournals.com]

  • Pulmonary Cavitary Tuberculosis

    There was no evidence of mediastinal shift or cardiac tamponade clinically, and neck veins were normal. On palpation there was no tenderness.[lungindia.com]

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