Tracheal Deviation: Causes & Reasons

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Possible Causes for Tracheal Deviation

Substernal Goiter

Chest radiographs showed tracheal deviation in 79 percent and soft tissue mass in 56 percent. [ncbi.nlm.nih.gov]

Preoperative imaging identified tracheal deviation in 69% and tracheal compression in 41% of the cases. [ncbi.nlm.nih.gov]

Tracheal deviation was present in 15 cases, causing tracheal compression or stenosis in 14. [ncbi.nlm.nih.gov]

Pneumothorax

Note the tracheal deviation to the left. Prognosis If the pneumothorax was an isolated event and treatment was initiated early, the prognosis is excellent. [emedicine.medscape.com]

deviation Hyper-resonance to percussion Decreased breath sounds In tension pneumothorax: Raised JVP, pulsus paradoxus, marked tracheal deviation, Tachycardia >135, hypotension [oxfordmedicaleducation.com]

Note the tracheal deviation to the left. Etiology Simple or complicated pneumothorax is very common in both blunt (38%) and penetrating (64%) pediatric chest injuries. [emedicine.medscape.com]

Hemothorax

deviation away from pneumothorax - Percussion hyperresonnance - Unilateral absence [symptoma.com] Although tracheal deviation and jugular venous distention are commonly cited [symptoma.com]

deviation away from pneumothorax - Percussion hyperresonnance - Unilateral absence of breath sounds, hypotension - Non-radiographic diagnosis - large bore IV needle, 2nd [fprmed.com]

Complete collapse of the lung may be followed by tracheal deviation and mediastinal shift. [brooksidepress.org]

Compression Atelectasis

(I've seen probably 2 dozen spontaneous pneumothoraces, and none of them had tracheal deviation) Yes, resonance should be increased on the affected side in both cases. [forums.studentdoctor.net]

Caused by O2 toxicity; neonatal or adult respiratory distress syndrome; infection Signs and symptoms of atelectasis Dyspnea Cyanosis Tracheal deviation Uneven chest expansion [quizlet.com]

I created a new row for tension pneumothorax, with decreased bs, hyperresonance, no fremitus, tracheal deviation contralateral to lesion, and ipsilateral diaphragm moves down [forums.studentdoctor.net]

Obstructive Atelectasis

deviation ipsilateral shift of the heart [radiopaedia.org]

[…] displacement of ipsilateral hemidiaphragm crowding of pulmonary vessels and bronchi affected area compensatory hyperinflation of unaffected lung mediastinal shift ipsilateral tracheal [radiopaedia.org]

Thoracic Aortic Aneurysm

[…] tug), and tracheal deviation. [msdmanuals.com]

[…] signs include Horner syndrome (miosis, ptosis, anhidrosis) due to compression of sympathetic ganglia, palpable downward pull of the trachea with each cardiac contraction (tracheal [msdmanuals.com]

Tension Pneumothorax

However, the classic physical examination findings of tracheal deviation and distended neck veins are poorly sensitive in the diagnosis of tension pneumothorax. [ncbi.nlm.nih.gov]

Additional findings include severe respiratory distress, tracheal deviation away from the affected side, hypotension, and jugular venous distention. [medcomic.com]

Signs Unilateral absent breath sounds Hyperresonant chest to percussion Cyanosis Respiratory distress Tachycardia Hypotension Tracheal deviation to contralateral side Neck [fpnotebook.com]

Pleural Effusion

If the effusion is extremely large (more than 1,000 ml), the patient will be in respiratory distress; you also may note tracheal deviation away from the affected side. [journals.lww.com]

Large effusion: complete shadowing of the lung with mediastinal shift and tracheal deviation away from the effusion Lateral decubitus view : demonstrates whether fluid is [amboss.com]

A large effusion there may cause tracheal deviation away from the effusion. [en.wikipedia.org]

Follicular Thyroid Carcinoma

It caused tracheal deviation to the left and coronal tracheal narrowing. [ncbi.nlm.nih.gov]

Plain X-rays of the neck and chest taken in all patients were normal, except in five patients (8%) where compression was seen (deviation of tracheal air column). [elsevier.es]

deviation to the left, coronal tracheal narrowing and retrosternal extension. [ncbi.nlm.nih.gov]

Tracheal Disease

Near the tracheal bifurcation, it deviates slightly to the right. The subglottis ends 2 cm below the level of the vocal cords. [slideshare.net]

[…] cartilage Congenital dilatation of trachea Congenital malformation of trachea Congenital stenosis of trachea Congenital tracheocele acquired J39.8 Deviation (in) trachea [icd10data.com]

It may be deviated to the right at almost 90° in a normal expiratory film. It only deviates to the left if the aortic arch is on the right side. 8. [slideshare.net]

Bronchial Obstruction

A new chest x-ray showed complete collapse of the left lung, with remarkable tracheal deviation. [ncbi.nlm.nih.gov]

As the mean tracheal diameter measured at the thoracic inlet is 18.2 mm (standard deviation, + 1.2 mm) in men and 15.2 mm (standard deviation, + 1.4 mm) in women, considerable [clinicaladvisor.com]

As the mean tracheal diameter measured at the thoracic inlet is 18.2mm (standard deviation ±1.2mm) in men and 15.2mm (standard deviation, ±1.4mm) in women, considerable airway [clinicaladvisor.com]

Atelectasis

A 3-month-old boy with a history of an abdominopelvic neuroblastoma presented 1 week after tumor resection for a routine follow-up 123-I Meta-iodobenzylguanidine (MIBG) scan to assess for residual mass. The study demonstrated abnormal radiotracer uptake in the right upper lobe, which correlated on the SPECT/CT[…] [ncbi.nlm.nih.gov]

Small-Cell Carcinoma of the Lung

Metastasis from small-cell carcinoma of the lung (SCCL) has most frequently been found in the lymph nodes, bones, brain, and liver. We have reported a case of metastatic SCCL located in the uveal layer of both eyes (choroidal in one and iridic in the other), an extremely rare occurrence. [ncbi.nlm.nih.gov]

Bronchogenic Carcinoma

We report a case of localized fibrous mesothelioma (LFM) of the pleura with bronchogenic carcinoma. LFM arose in the visceral pleura of the upper lobe in the left lung, and lung adenocarcinoma was located in the ipsilateral lower lobe. LFM is a rare mesenchymal tumor of the pleura. Concomitant occurrence with[…] [ncbi.nlm.nih.gov]

Recurrent Small-Cell Carcinoma of the Lung

PURPOSE: To determine the response rate, survival, and toxicity of irinotecan (CPT-11), a topoisomerase I inhibitor, combined with etoposide, a topoisomerase II inhibitor, in refractory or relapsed small-cell lung cancer (SCLC). PATIENTS AND METHODS: Twenty-five patients with refractory or relapsed SCLC were entered[…] [ncbi.nlm.nih.gov]

Bronchial Adenocarcinoma

Cancer. 1982 Mar 1;49(5):881-7. Abstract The morphologic distribution of newly synthesized glycoproteins in a bronchioloalveolar carcinoma and in a peripheral bronchial adenocarcinoma with areas of bronchioloalveolar differentiation was determined and compared with bronchiolar epithelium and type II alveolar cells.[…] [ncbi.nlm.nih.gov]

Anaplastic Thyroid Carcinoma

Other findings of local extension of the disease include stridor, tracheal deviation, and vocal cord paralysis due to compression or invasion of the trachea; and venous dilatation [aboutcancer.com]

Pleurisy

Your doctor will diagnose pleurisy or another pleural disorder based on your medical history, a physical exam, and test results. Your doctor will want to rule out other causes of your symptoms. He or she also will want to find the underlying cause of the pleurisy or other pleural disorder so it can be treated.[…] [nhlbi.nih.gov]

Papillary Thyroid Carcinoma

A 10-year-old boy, complaining of fatigue, presented with multiple bilaterally enlarged neck lymph nodes. Chest x-ray revealed multiple small nodules in the lung, which was confirmed on computed tomography (CT) analysis. Because of clinical suspicion of miliary tuberculosis, a bronchoalveolar lavage was performed. This[…] [doi.org]

Chylothorax

Chylothorax Chest X-ray showing bilateral chylothorax Specialty Respiratory medicine Symptoms None, breathlessness Complications Dehydration, malnutrition, abnormal electrolyte levels, weakened immune system Types Low output, high output Causes Complication of surgery, trauma, cancer, infections, lymph vessel[…] [en.wikipedia.org]

Empyema

Intern Med. 2015;54(24):3189-91. doi: 10.2169/internalmedicine.54.5084. Epub 2015 Dec 15. Author information 1 Department of Surgery, National Hospital Organization Ehime Medical Center, Japan. Abstract Percutaneous transhepatic gallbladder drainage (PTGBD) is an alternative to emergency laparoscopic cholecystectomy in[…] [ncbi.nlm.nih.gov]

Pulmonary Tuberculosis

Nocardiosis is an opportunistic infection in a patient with underlying immune suppression and organ transplant. Clinical syndromes are varied and ranges from pulmonary, disseminated, cutaneous along with central nervous system involvement. Herein, we report a rare case of disseminated pulmonary nocardiosis with[…] [ncbi.nlm.nih.gov]

Traumatic Pneumothorax

A chest radiograph was ordered, which showed a large right-sided pneumothorax with tracheal deviation suggestive of a tension pneumothorax. [ncbi.nlm.nih.gov]

In a tension pneumothorax, findings may include a displaced point of maximal impulse, tracheal deviation, mediastinal shift, and hemodynamic instability. [journals.lww.com]

Note the tracheal deviation to the left. Prognosis If the pneumothorax was an isolated event and treatment was initiated early, the prognosis is excellent. [emedicine.medscape.com]

Pleural Mesothelioma

Ann Thorac Surg. 2017 Jun;103(6):e529-e530. doi: 10.1016/j.athoracsur.2017.01.029. Author information 1 Department of Thoracic Surgery, Helios University Hospital Wuppertal, University Witten/Herdecke, Wuppertal, Germany. Electronic address: dr.bolukbas@gmx.de. 2 Department of Thoracic Surgery, Helios University Hospital[…] [ncbi.nlm.nih.gov]

Artificial Pneumothorax

Abstract Systemic air embolism occurred in a patient during general anaesthesia, with positive pressure ventilation, following induction of artificial pneumothorax to assist in the diagnosis of a mediastinal mass. A sudden change in vital signs together with neurological abnormalities suggested involvement of both[…] [ncbi.nlm.nih.gov]

Iatrogenic Pneumothorax

Clinical signs of tension pneumothorax include tracheal deviation, hyperresonance, and hypotension. [aneskey.com]

A tension pneumothorax additionally presents with distended neck veins, tracheal deviation, and hemodynamic instability. Both should be suspected on clinical evaluation. [amboss.com]

Tracheal deviation (the trachea is skewed away from the side of the tension pneumothorax) signifies that a mediastinal shift has occurred and is an ominous sign. [teleflex.com]

Bronchial Adenoma

Abstract Bronchial adenomas consist of a mixed group of neoplasms with varying degrees of malignancy. Although Mueller [1] first described these tumors in 1882, the term “bronchial adenoma” did not become popular until 1930 when this term was used to distinguish this group of tumors from the more malignant[…] [link.springer.com]

Thyroid Gland Disorder

The thyroid (from the Greek word for "shield", after its shape) is one of the larger endocrine glands in the body. It is a double-lobed structure located in the neck and produces hormones, principally thyroxine (T4) and triiodothyronine (T3), that regulate the rate of metabolism and affect the growth and rate of[…] [dmoztools.net]

Malignant Pleural Effusion

Tumour Biol. 2017 Jun;39(6):1010428317706211. doi: 10.1177/1010428317706211. Author information 1 1 Department of Radiotherapy and Chemotherapy, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China. 2 2 Department of Thoracic Surgery, The First Affiliated Hospital of Wenzhou Medical University,[…] [ncbi.nlm.nih.gov]

Nontoxic Goiter

[…] compression or deviation should undergo awake, fiberoptic intubation • Relief of local compressive symptoms • Diagnostic to rule out cancer in areas of hardness or rapid [accesssurgery.mhmedical.com]

A chest x-ray is useful in assessing retrosternal goiter and if there any tracheal deviation. [statpearls.com]

deviation, in the setting of a substernal goiter • As the goiter persists, nodules can develop • Thyroid malignancy or lymphoma • Acute suppurative thyroiditis • Silent thyroiditis [accesssurgery.mhmedical.com]