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Year : 2014  |  Volume : 31  |  Issue : 2  |  Page : 179-181  

Air-fluid level in the right lung

1 Department of Pulmonary Medicine and Tuberculosis, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
2 Department of Medicine/OUHSC, University of Oklahoma Health Sciences Center, Oklahoma City, USA

Date of Web Publication1-Apr-2014

Correspondence Address:
Dr. Bhaskar Bhardwaj
Department of Pulmonary Medicine and Tuberculosis, Indira Gandhi Medical College, Shimla - 171 001, Himachal Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.129874

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How to cite this article:
Bhardwaj B, Bhardwaj H. Air-fluid level in the right lung. Lung India 2014;31:179-81

How to cite this URL:
Bhardwaj B, Bhardwaj H. Air-fluid level in the right lung. Lung India [serial online] 2014 [cited 2020 May 31];31:179-81. Available from: http://www.lungindia.com/text.asp?2014/31/2/179/129874

A 52-year-old smoker male with 30 pack years smoking history and history of chronic obstructive pulmonary disease (COPD) and bullous emphysema presented to our hospital with complaints of worsening dyspnea, fever, and productive cough for past 3-4 days. Physical examination revealed a well-built African-American male in moderate respiratory distress requiring supplemental oxygen through nasal cannula to maintain adequate oxygen saturation. Significant findings on respiratory system examination included tachypnea and bronchial breath sounds in the upper-right chest area. An upright PA and lateral view of chest radiograph [[Figure 1], panel A and B] and computed tomographic scan (without contrast) of the chest [Figure 2] are shown.
Figure 1: (Panel A and B) Posterior-anterior and lateral chest radiograph showing air-fluid level in the right lung. (arrows and circle)

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Figure 2: Computed tomogram chest (without contrast), axial view with lung window, showing air fluid level (arrows) with surrounding parenchymal infiltrates (arrowheads). Extensive bullous emphysema of bilateral lungs is visible

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   References Top

1.Peters JI, Kubitschek KR, Gotlieb MS, Awe RJ. Lung bullae with air-fluid levels. Am J Med 1987;82:759-63.  Back to cited text no. 1
2.Richardson MS, Reddy VD, Read CA. New air-fluid levels in bullous lung disease: Areevaluation. J Natl Med Assoc 1996;88:185-7.  Back to cited text no. 2
3.Drouet PL, Herbeuval R, Faivre G, Remy D.Emphysemabulleurgeneralise avec infection. F Fr Med Chir Thorac 1947;1:428-31.  Back to cited text no. 3
4.Chandra D, Rose SR, Carter RB, Musher DM, Hamill RJ. Fluid-containing emphysematous bullae: A spectrum of illness. Eur Respir J 2008;32:303-6.  Back to cited text no. 4
5.Mahler DA, Gerstenhaber BJ, D'Esopo ND. Air-fluid levels within lung bullae associated with pneumonitis. Lung 1981;159:163-71.  Back to cited text no. 5
6.Henao-Martinez AF, Fernandez JF, Adams SG, Restrepo C. Lung bullae with air-fluid levels: What is the appropriate therapeutic approach? Respir Care 2012;57:642-5.  Back to cited text no. 6
7.Palla A, Desideri M, Rossi G, Bardi G, Mazzantini D, MussiA, et al. Elective surgery for giant bullous emphysema: A 5-year clinical and functional follow-up. Chest 2005;128:2043-50.  Back to cited text no. 7


  [Figure 1], [Figure 2]


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