Unusual cause of opaque hemithorax

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Opaque hemithorax

Complete opacification of a hemithorax on chest X-ray is termed opaque hemithorax (OH) and is a common finding in emergency room patients. Attending physicians encountering an OH should be able to make an immediate decision regarding the most appropriate approach. The differential diagnosis of an OH is primarily based on the volume of the affected hemithorax, as determined by the position of th...

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A 54-year-old man with right opaque hemithorax and worsening shortness of breath.

impaired/dull note was appreciated on the right side of the chest. The skin over the right hemithorax was warm and hard to touch. On abdominal examination, there was massive, palpable hepatomegaly which was tender. The remaining examination was unremarkable. Chest X-ray ( fig. 1 ) disclosed an almost complete opacification of the right hemithorax with the mediastinal silhouette being slightly d...

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ژورنال

عنوان ژورنال: Thorax

سال: 2017

ISSN: 0040-6376,1468-3296

DOI: 10.1136/thoraxjnl-2017-210418