Radiology – Integrated Training Initiative (R-ITI) | Paediatrics | Unilateral Hyperlucent Hemithorax
Unilateral Hyperlucent Hemithorax
Session Overview
Description
This session looks at asymmetrical translucency of the hemithorax in a child.
Learning Objectives
By the end of this session you will be able to:
- Recognise asymmetrical translucency of the hemithorax on a chest radiograph (CXR)
- Describe a strategy for evaluation of asymmetrical translucency
- Identify the abnormal lung and explain why it is abnormal
- List common causes of a hypertranslucent hemithorax in a child
- Suggest any appropriate further imaging
Prerequisites
Before commencing this session you should have:
- A basic knowledge of chest diseases in children
- Knowledge of the normal appearances of CXR in children
- A basic knowledge on interpretation of the paediatric CXR
The translucency and size of both hemithoraces in a CXR should be similar.
Asymmetry of the two hemithoraces may be due to inequality in:
- Aeration
- Vascularity
and may be associated with an enlarged or smaller lung.
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