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Tracheal Deviation on CXR

Dr. Nicolene Lottering

Created on September 23, 2023

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Transcript

CAUSES OF DEVIATION

Tracheal Deviation

Toward the affected side? Occurs due to and indicates volume loss in the affected (pathological) lung/side

Away from the affected side? Occurs due to and indicates volume expansion (more) in the affected lung/side

On the PA CXR images beside, describe the location of the deviation by selecting the correct answer

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  • Significant atelectasis (collapse)
  • Lobectomy, pneumonectomy
  • Lung fibrosis
Causes of Volume Loss
  • Tension Pneumothorax
  • Large Pleural Effusion
  • Mediastinal mass
Causes of Expansion

Means there is more air/pressure on one side