Is there an air bubble on the left side of the lung in my chest X-ray?

Hi,

Welcome to icliniq.com.

I understand your concern.

I have reviewed the X-ray of chest PA (posteroanterior) and lateral views (attachment removed to protect the patient's identity). The following are the findings. First, there is a hydropneumothorax, which means fluid and air are present in the left pleural cavity. And the pneumothorax component is tracking laterally and reaching the left upper hemithorax. The fluid volume in the left pleural cavity might be approximately 350 to 450 ml, and the air over it might be once to one and half times or slightly more than the fluid volume. The total lung volume is 4 to 6 liters and is not a fixed volume. If we try to calculate by taking 5 liters as a mean volume, approximately 2.5 liters is the single lung volume. The importance of fluid in the left pleural cavity is approximately 14 to 20 percent of the left lung. The volume of air in the left pleural cavity can be from 16 to 25 percent of the left lung. The volumes are approximate and might differ by 10 percent on both sides. There is inflammation of the lung and pleural and fluid formation in the space. X-ray images do not show in detail, but there is a partial collapse of the left lung's lower lobe. Pleural effusion itself is an indirect sign of pleural inflammation. However, any visible structural damage to the pleura is not visualized in the X-ray image, but this needs detailed evaluation and follow-up.

I hope this helps.

Hi,

Welcome back to icliniq.com.

I understand your concern.

You correctly identified the air bubble surrounding the left lung's inflated part and extending from the upper part to the lower part. The lung air boundary is indeed clearly visible as you have mentioned. I would like to add more points on what is visualized and the importance of viewing both frontal and lateral X-rays when interpreting any changes from the previous X-ray. It is not precisely tapering as we find in the frontal X-ray, and we need to imagine the structures in a three-dimensional view. The frontal X-ray gives us a two-dimensional picture. When we think about the three-dimensional perspective, there is air in the anterior-posterior plane that needs to be accounted for and is not visualized in the frontal X-ray but in the lateral X-ray. I would suggest you to please check the differences in X-ray findings in both frontal and lateral views for better understanding.

I hope this helps.