Publish in this journal
Journal Information
Vol. 51. Issue 8.
Pages 417 (August 2015)
Vol. 51. Issue 8.
Pages 417 (August 2015)
Clinical Image
DOI: 10.1016/j.arbr.2015.05.022
Full text access
Skin Fold Resembling Pneumothorax
Pliegue cutáneo y neumotórax
Visits
...
Alexandre Pérez-Girbésa, Silvia Paz-Mayab, Pierre Lemerciera,
Corresponding author
pierrelemercier85@gmail.com

Corresponding author.
a Hospital Universitari i Politècnic La Fe, Valencia, Spain
b Hospital Quirón, Valencia, Spain
Article information
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Full Text

Skin folds and pneumothorax can often be confused on chest radiographs. We present the chest X-ray (Fig. 1A) of a 71-year-old man with cancer who presented due to a deterioration in his general health status, where a skin fold was observed in the left hemithorax. Computed tomography (B) confirmed the absence of pneumothorax. The skin fold (A) appears as an interface (arrowhead) in the lung field, between 2 areas with vasculature (arrow). An antero-posterior projection was used, with the patient in supine decubitus. Positioning the chassis between the X-ray table and the patient's back can form a skin fold. In pneumothorax (C), the visceral pleural edge can be seen as a hyperdense line (arrow head) separating the lung parenchyma from the pleural cavity, which has no vasculature (*). The absence of vessels is not enough to diagnose pneumothorax (bullae, cysts), nor does their presence rule it out (folded lung syndrome). It is important to bear in mind that the visceral pleural edge is a hyperdense line, while the skin fold is observed as an interface between 2 tissues of different densities.1,2

Fig. 1
(0.17MB).
Conflict of Interests

The authors declare that they have no conflict of interests.

References
[1]
J.K. Fisher.
Skin fold versus pneumothorax.
Am J Roentgenol, 130 (1978), pp. 791-792
[2]
P. Stark, C. Eber.
Pneumothorax or skin fold?.
Clin Intensive Care, 4 (1993), pp. 45-46

Please cite this article as: Pérez-Girbés A, Paz-Maya S, Lemercier P. Pliegue cutáneo y neumotórax. Arch Bronconeumol. 2015;51:417.

Copyright © 2014. SEPAR
Idiomas
Archivos de Bronconeumología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.