How to make a successful

case presentation
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How to prepare your case presentation :
 Select a case with complete
clinical data and proper
imaging technique .
 Collect relevant references for
your case.
 Complete your case study.
 Design your presentation .
 Practice well .
You should fulfill these items:
 History.
 Clinical findings.
 Technique of X-ray.
 Radiological findings >>in your case ,with good
quality images .
 Differential Diagnosis.
 Diagnosis.
 Treatment.
 Discussion >>>Anatomy -Pathology -Radiographic
features-treatment .
 Taibah University
Faculty of
Applied Medical Sciences
Department of
Diagnostic Radiology
Technology

Case Presentation
Pneumothorax
Presented by
<<<Your Name & ID >>>
Example
History :
20 years old male presented with Sudden onset
shortness of breath while playing football.

Clinical findings:
Tachycardia ,hypotension and distended neck veins

The patient referred Immediately for Chest

radiograph
Imaging Technique :
Chest X ray PA

Patient preparation
Patient protection
Detailed technique with
images for clarification
 Radiological Findings

PA Chest X ray (A) shows:

• Increase translucency of the
peripheral right hemithorax
• Absent broncho vascular
markings in the right
hemithorax
• Deviation of the heart and
mediastinum to the left side
• Collapsed right lung
• Opacified right CPA
A
 Radiological Findings

PA Chest X ray (B) shows:

Post insertion of a right
pleural pigtail catheter
>>>> resolution of tension.

B
Differential Diagnosis:
1-Pneumothorax
2-Malrotated film
Diagnosis:
Right Tension pneumothorax with mild pleural effusion
( Hydropneumothorax )
Treatment:
1-Urgent decompression by insertion of chest tube.
2-Surgical consultation
Discussion:
• Pneumothorax is the collection of air within the pleural space.
• It is classified as spontaneous (the most common), traumatic, or
iatrogenic.
• It is common in male.
Causes of pneumothorax include:
• Chest injury
• Lung disease
• Ruptured air blisters
• Mechanical ventilation
Radiographic features of Pneumothorax:
Pneumothorax usually appears on Chest X ray
as:
• Radiolucent region with no lung markings
peripheral to the white line of the visceral
pleura. (blue line ).
• Usually occur in the apices (The air rises to
the least dependent regions.
• Rib fractures can be identified in post
traumatic cases .(arrow)
• Pneumothorax is demonstrated better by an
expiratory film.
Types of pneumothorax
• Closed pneumothorax: air retained in the pleural space.
• Open pneumothorax: the air can enter to and exit from the pleural
space.
• Valvular pneumothorax: the air can enter to and can't exit from the
pleural space causing progressive increase intra-pleural pressure and
leads to tension pneumothorax
Tension pneumothorax: is the worst type that may be fatal by
compression of the heart causing cardiac tamponade.
Treatment of pneumothorax:
Tension pneumothorax is an
emergency case that needs:
1-Urgent decompression by
insertion of chest tube.
2-Surgical consultation
Source of the case : Meeqat
General Hospital
References:
• Sutton D, Robinson P. Textbook Of Radiology And Imaging.7th ed.
[Edinburgh]: Churchill Livingstone; 2003:87-106.
• Brusic A, Tension pneumothorax. Case study, Radiopaedia.org
(Accessed on 16 Sep 2023) https://doi.org/10.53347/rID-60551
Good Luck !