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Unilateral Dark Lung

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CLINICAL DIAGNOSTIC MANUAL



The term “unilateral dark lung” on a chest X-ray refers to increased transparency or radiolucency in one lung. This appearance can be caused by various pathologies, including the presence of air in the pleural space, lung collapse, or post-surgical changes. Identifying the specific cause is essential for proper patient management, as some of these conditions may require urgent interventions.


Pathology

Clinical Symptoms and Signs

Suspected Diagnosis

Confirmatory Diagnosis

Pneumothorax

Sudden dyspnoea, pleuritic chest pain, tachycardia, decreased breath sounds

History of chest trauma or risk factors

Chest X-ray, chest CT, thoracic ultrasound

Tension pneumothorax

Severe dyspnoea, chest pain, tracheal deviation, signs of shock

History of trauma, severe acute symptoms

Chest X-ray, thoracic ultrasound, urgent clinical evaluation

Bulla

Chronic dyspnoea, cough, decreased breath sounds

History of COPD or chronic smoking

Chest X-ray, chest CT

Mastectomy

Asymptomatic, visible post-surgical changes in the chest

History of mastectomy surgery

Chest X-ray, clinical evaluation

Major pulmonary embolism

Sudden dyspnoea, chest pain, tachycardia, haemoptysis, signs of hypoxaemia

History of thrombotic risk factors, acute symptoms

CT pulmonary angiography, echocardiography, D-dimer test

Lobar lung collapse

Dyspnoea, cough, chest pain, decreased breath sounds in the affected area

History of prior lung disease or risk factors

Chest X-ray, chest CT, bronchoscopy


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