The following chest X-ray was recorded from a patient presenting to emergency with breathlessness. What is the most likely diagnosis?
D. Cardiac tamponade
Ans: B. Hydropneumothorax
(Ref Sutton Radiology 7/e p921
- The air fluid level seen on the left side in the given X-ray is suggestive of a diagnosis of hydropneuntothorax.
- Defined as the presence of both air & fluid within the pleural space surrounding the lung.
- An upright chest X-ray will show air fluid levels.
- Horizontal fluid level is usually well-defined & extends across the whole length of hemithorax.