Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / General / General / October 2005

Tip: Looking for answers? Try searching our database.

Will small air leak(s) in lung show up on x-ray or CT scan?

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Cartrivision1 - 24 Oct 2005 20:56 GMT
Hello, I had a collapsed lung in March of this year.  A surgeon later
determined that it was a Hemothorax, because of the large amount of
blood/fluid that had to be drained.  At a follow-up appointment the
Pulminologist saw that my lung was collapsing again (25% or so) and I
was sent to a surgeon but by this time a CT scan showed that it was
only 10% collapsed so he decided to just see what happened over time
instead of operating.

Ever since then I have had pain/aches on the same side of the collapsed
lung and in the lower back area of same side.  I also have the
sensation of "burping or bubbling", or air escaping from the lower part
of the bad lung.  I have had a couple of x-rays and a fairly recent CT
scan but my lung looks fine.  Will a smallish sized air leak show up on
a x-ray, and also am I doomed to just live with the pain and shortness
of breath that I occasionally have from this?

All of the doctors that I have seen are stumped by the escaping air
sensation that I have described.  The ache seems to get worse with
exertion and if I raise my voice, such as signing and such.  Any idea
of what my problem could be?  Also I had the same sensation of
"bubbling" or whatever previous to my lung collapsing.  Of course then
I did not know that it was a sign of anything bad.

thanks,
CTV
Howard McCollister - 24 Oct 2005 22:52 GMT
> Hello, I had a collapsed lung in March of this year.  A surgeon later
> determined that it was a Hemothorax, because of the large amount of
[quoted text clipped - 18 lines]
> "bubbling" or whatever previous to my lung collapsing.  Of course then
> I did not know that it was a sign of anything bad.

The answer would depend very much on why your lung collapsed in the first
place.

HMc
Cartrivision1 - 25 Oct 2005 01:08 GMT
> The answer would depend very much on why your lung collapsed in the first
> place.
>
> HMc

Hi, well they don't know why my lung collapsed.  It was what they call
a "spontaneous pneumothorax".  My last CT scan done a few months ago
did show some trapped air, but my doctor did not think it was enough to
cause the symptoms that I was complaining about.  Another theory was
scar tissue, but wouldn't that show up in an x-ray or CT scan?

CTV
Howard McCollister - 25 Oct 2005 02:21 GMT
>> The answer would depend very much on why your lung collapsed in the first
>> place.
[quoted text clipped - 6 lines]
> cause the symptoms that I was complaining about.  Another theory was
> scar tissue, but wouldn't that show up in an x-ray or CT scan?

"Spontaneous pneumothorax" is a well-understood and well-recognized problem.
Googling it will return you about 250,000 hits.

It is almost exclusively caused by numerous clusters of little blebs at the
apex of the lung. Every so often, one of these blebs will rupture and the
lung will collapse. The sensation you're feeling is not air leaking - the CT
scan you had would show if there was any residual or ongoing pneumothorax.
More likely it's narrow-based scar tissue at the apex of the lung.

It sounds like you've had two of these pneumothoraces. Your google search
will tell you that the liklihood of a third is extremely high, adn that you
are equally prone to this on the other lung. Current treatment is
thoracoscopic resection of the apex of the lungs where the blebs are, and
pleurodesis to cause the lung to scar across the upper lobe so it can't
happen again.

This is really fundamental stuff. Very hard to imagine that the surgeon you
saw didn't tell you these same things.

HMc
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.